Prenatal diagnosis of citrullinemia type 1; seven families with c.1168G>A mutation of Argininosuccinate synthetase 1 gene in Southwest Iran: A case series

Background: Citrullinemia type 1 is an autosomal recessive disease resulting in ammonia accumulation in the blood, and if uncontrolled may progress to coma or death in the early months after birth. Cases presentation: 7 families from Southwest Iran having one or more children in their families or relatives, who died in the early months after birth due to citrullinemia type 1 visited for genetic counseling and prenatal diagnosis. Whole-exome sequencing was performed on peripheral blood specimens and chorionic villus samples. Sanger sequencing confirmed the genetic results. Both parents were identified as carriers for the exon 15 c.1168G>A mutation in each family. The fetus in 6 out of 7 families was homozygote for A substitution on the argininosuccinate synthetase 1 gene. Conclusion: The presence of a common mutation in the argininosuccinate synthetase 1 gene in all affected families of Southwest Iran shows a possible population cluster in this area. Key words: Argininosuccinate synthetase, Chorionic villus sampling, Point mutation

The Effect of Item Modality and Note-taking on EFL Learners’ Performance on a Listening Test

The pivotal role of listening comprehension in second/foreign language learning requires that researchers conduct studies which investigate factors that affect test takers’ performances. The present study was set out to examine whether item modality (i.e., written vs. oral items) affects listening comprehension test performance. In addition, it investigated whether allowing test takers to take notes while listening would also affect their performances. To this end, two different tests, each containing 20 multiple choice items, were administered to 66 (35 female and 31 male) upper-intermediate EFL learners. The first test was administered to look into the role of item modality, and the second test was employed to investigate the effect of note-taking. The application of independent samples t-tests to analyze the data revealed that that test takers performed better when the items were provided in written rather than oral form, and that test takers’ performances did not differ significantly when they were allowed to take notes. More detailed findings and implications are discussed in the paper. Keywords: item modality, note-taking, listening test, EFL   Authors’ emails: [email protected]; [email protected]     INTRODUCTION Testing is an integral part of any teaching and learning process and like other educational fields, English as a Foreign Language (EFL) education has long recognized testing as a major part of the teaching. New perspectives on the use of English as an international language (EIL) have presented significant challenges to the field of language testing, with calls for change in assessment practices arising over the past decade (Jenkins, 2006). One of the skills for which constructing test items is demanding is listening comprehension, as in real life contexts, listeners cannot usually move backwards and forwards over what is being said in the way that they can do in a written text. In a listening test, the key concern is to evaluate the students’ comprehension, that is, to determine whether the students have grasped the intended message. So, it is essential to decide on the conditions and operations that merit inclusion in a test of listening comprehension (Weir, 1990). In actual fact, the assessment of listening abilities is one of the least understood, least developed and yet one of the most important areas of language testing (Buck, 2007). The issue is even more complex nowadays given the unprecedented diversity of testing methods and academic pathways available for international students (Taylor & Geranpayeh, 2011). In other words, among the many existing variables that are considered to affect test takers’ performance, one central issue is the effect of test methods and formats (Alderson, 2000; Bachman, 1990; Buck, 2007). Besides the awkward nature of testing listening comprehension, there exist some factors that might affect test-takers’ performance. When test developers set out to design a listening comprehension test, they usually encounter, and have to account for, numerous factors that may influence test-takers’ performances, such as item format, speech rate, speaker accents, topic familiarity, etc. Considering this, the present study is, for one thing, concerned with the mode of presentation of multiple choice items in a listening comprehension test, that is, it makes a difference to present the items orally or in written form. Focusing on different items format, some studies conclude that allowing candidates to preview question stems enables them to make good use of planning, a meta-cognitive strategy by directing their attention to relevant areas of the text (Wu, 1998; Yanagawa & Green, 2008). However, the listening items in which the stem of the question is not seen on the paper or the screen, have their own advocates who believe that auditory memory does not need to be supported by visual aids. When it comes to listening instruction, there are numerous studies that look at enhancing listening comprehension through various means of support, such as visual aids, advance organizers, captions, etc. with the overall conclusion that most of these forms of support have been found to facilitate listener comprehension and also to have some positive psychological effects on listeners’ learning (Chang, 2009). Elekaei, Faramarzi and Biria (2015), for instance, investigated test-takers’ attitudes towards items with audio-only, pictorial and visual modality and found that students favoured picture-based (rather than visual) items over audio items. I support of Elekaei et al.’s (2015) findings, Basal, Gulozer and Demir (2015) compared the performance of Turkish EFL learners on items with audio and visual modality and found the performance on audio modality to be significantly higher than that on visual modality. In addition to the modality of the item, another factor that may affect listening performance of the EFL learners is whether they are allowed to take notes during the listening test, which is the second concern of this study. Note-taking variable was considered in conjunction with modality in this research on the assumption that both these variables involve similar cognitive processes in listening. In other words, while written item modality helps listeners to overcome the memory problem (which is evident in oral items), note-taking functions similarly by allowing the listener to have a partial written record of the lapsing message, helping to remember better and retrieve what may otherwise be unretrievable. Some studies (e.g., Hale & Courtney, 1991) have found that note-taking almost always improves retention of aurally presented material when performance is measured with a recall test. In their studies, Hale and Courtney concluded that allowing students to take notes would lead them to a better performance in listening tests. However, research suggests that note-taking may work differently for listeners of different proficiency level. In his study with 257 participants who took English as a second language placement exam, Song (2011) found that those with higher levels of proficiency benefited more from note-taking compared to listeners with lower proficiency level, while some other studies have failed to find an effect (Carter & Van Matre, 1975; Dunkel, 1986); and still other researchers like Aiken, Thomas, and Shennum (as cited in Song, 2011) have observed an interfering effect.  Given the widespread use of language proficiency tests administered throughout the world and considering test-takers’ desire to gain satisfactory results in such tests as the score are sued to make life-changing decisions on them, there seems to be a need to better understand what affects candidates’ performances in such tests (as well as in less high-stakes assessments) in order to assist test-takers in obtaining desired results. Therefore, in designing such tests, besides the needs of the candidates, test-dependent factors including item modality and allowing test-takers the opportunity to take notes are areas which require further research attention with the aim to provide listeners the chance to reveal their true listening competence and guard them against memory problems, which can be doubled in exam setting.   LITERATURE REVIEW L2 listening tests should demonstrate that the test-taker has the ability to process language automatically, in real time (Buck, 2007).  Thus, there is a need for the listener to automatize the listening process, and consequently there is a need to assess if the listener can indeed comprehend spoken language automatically in real time. This presents a dilemma for testers, in determining the mode of presenting the item stems and allowing the test-takers to take notes or not, since the first of these resources does not seem to exist in real-life situations, and the second has few outside realizations (except for academic or formal encounters). Ideally, the item stems should be presented orally to the test-takers, because this is generally how spoken language is encountered in real life.  Note-taking is considered as a good strategy for keeping the points in mind in real life and in listening to lectures. However, the burden on listeners in an exam context is quite different from that in a real-life context, and it needs to be investigated whether providing support to listeners in the form of written items (as opposed to oral items) and allowing them the chance to take notes helps them to better reveal their listening ability in a test context. Below we provide a brief account of some studies conducted in this area before we introduce our project.       Item Modality It has been argued that EFL learners need abundant support when processing auditory input (Chang, 2009). Numerous studies (e.g., Markham, Peter, & McCarthy, 2001; Stewart & Pertusa, 2004; Vandergrift, 2007) have looked at enhancing listening comprehension through various means of support such as visual aids, captions, etc. Most of these supports have been recognized as facilitative and have been shown to have positive psychological effects on listeners’ comprehension. However, in the realm of assessing listening, providing cognitive processing support to listeners in the form of written item modality has not received due attention. A few studies have looked at the issue of modality but diverse results have been reported. Yanagawa and Green (2008), for example, examined whether the choice of multiple choice item format led to differences in task difficulty and test performance. In their study, they studied three formats, two of which were Full Question Preview (used in tests such as TOEIC which displays both the question stem and answer options on the question paper/screen) and Answer Option Preview (used in TOEFL where answer options are displayed on the question paper/screen, but the questions are heard after the text). In their study, 279 test-takers participated and listening tests were administered using different formats. The results indicated that listening comprehension test performance did vary significantly according to whether test-takers had been able to preview the question stem. It was found that allowing test-takers to preview only the answer options produced fewer correct answers than allowing test-takers to preview both the question stem and answer options prior to listening. However, they suggested that although the cues provided in answer options did not facilitate comprehension, previewing them may encourage test takers to fall back on a lexical matching strategy. Chang (2009) compared two modes of aural input: reading while listening versus listening only. The results of the study revealed that although students showed a strong preference for the reading/listening mode, they gained only 10% more with that mode. More than half of the students believed that reading while listening mode made listening tasks easier and more comprehensible. In a study similar to ours, Wagner (2010) examined the effect of using visual components of spoken texts on listeners’ performance and their comprehension of aural information in a listening test. In his study, the two groups’ performance on an ESL listening test was compared. The control group took a listening test with audio-only texts. The experimental group took the same listening test, with the exception that test-takers received the input through the use of video texts. Analyses of the results indicated that the video (experimental) group performed better than the audio-only (control) group on the test, and the difference between their performances was statistically significant. More recently, Rogowsky, Calhoun, and Tallal (2016) compared immediate and delayed comprehension (retention) of three groups of learners who either listened to an audio text (the preface and a chapter form a non-fiction book), or read the original text on screen or did both at the same time (dual modality). The findings revealed that in neither condition did readers/listeners outperform either at Time 1, or at Time 2, concluding that input modality does not matter in comprehension. The comprehension test was however in written mode and whether similar results could be obtained in listening comprehension has to be established by future research.   Note-taking Note-taking is generally considered to promote the process of learning and retaining, especially in the context of reading comprehension (Rahmani & Sadeghi, 2011). Over the years, research on note-taking has generated debates, and researchers have tried to implement studies to verify whether taking notes is effective for students to improve their listening comprehension. A study conducted by Hale and Courtney (1991) who investigated note-taking effect on listening comprehension of test-takers in TOEFL mini-talks. In their study, Hale and Courtney had two groups of international test-takers (a total number of 563 students) who were getting ready to take part in TOEFL. In their study, one of the groups was free to take notes while the test-takers were listening to the text. However, the test-takers in the other group were not allowed to take notes at all. The results revealed that allowing test-takers to take notes had little effect on their performance, and more interestingly, allowing test-takers to take notes impaired their performance in the listening test. In a similar vein, in a study conducted by Kobayashi (2005), the researcher was concerned with the question of whether the process of taking notes promotes the encoding of lecture or text information, and if so, how much and why. The results of his meta-analysis demonstrated that the overall effect of note-taking compared with no note-taking was positive but modest, which was somewhat inconsistent with the tenets of encoding hypothesis that note-taking enhances learning by stimulating note-takers to actively process the material and to relate it to their existing knowledge. Carrell (2007) investigated the relationships between note-taking strategies and performance on the three language assessment tasks. Her study employed 216 international test-takers (88 males and 128 females) ranging in listening comprehension proficiency from low-intermediate to high. The participants were tested and were asked to take notes while listening to the talks. The researcher analyzed the content of the notes as well as the candidates’ performances. The overall results revealed that the relationship is complex, depending upon the note-taking strategy and the task. She found positive correlations between the number of total notations and task performance. Likewise, Ching Ko (2007) in his study with fifteen university EFL students tried to explore test-takers’ perceptions of note-taking and analyze the effect of note-taking on students’ foreign language listening comprehension. The findings indicated that taking notes did not distract students from their listening process; but rather, it helped them pay more attention to the text. He concluded that with the help of note-taking, students can improve their listening performance through both enhancing recall and paying more attention to the listening text. The above brief literature on two variables of interest in this study (item modality and note-taking) reveals that although these two variables are among those important test method facets that have the potential to affect listening performance in exam contexts, little research exists to indicate the role item modality and note-taking plays in test-taking, and the small body of published research does not point to a uniform direction. In order to contribute to the existing literature in this important area of language testing, this study was planned to further our understanding of the links between item modality, note-taking, and performance in listening tests.     PURPOSE OF THE STUDY The main purpose of the current research was to assess students’ ability to comprehend spoken language as it would typically occur in an academic setting. In other words, the study sought to find the effects of the modality of multiple choice items (oral versus written modality) and note-taking (whether it is allowed or not) on the performance of upper-intermediate EFL learners in taking listening tests. More specifically the following research questions were posed for further scrutiny:   1. Does item modality (written vs. oral) have any significant effect on the listening performance of Iranian upper-intermediate EFL test-takers? 2. Does note-taking have any significant effect on the listening performance of Iranian upper-intermediate EFL test-takers?      METHOD Participants A total number of 66 upper-intermediate EFL learners (31 males and 35 females) within the age range of 18 to 25 took an institutional version of PBT TOEFL, from among whom no one was excluded as an outlier (since they all enjoyed a similar proficiency level, and their scores ranged between 62 to 85 out of 100). They were all upper-intermediate language learners who were taking English language courses in Shukuh-e-Iran language school; and having attended English classes for the last three years, they had relatively high levels of English proficiency, including listening. They participants attended the same course (in different classes for males and females) and the institute placed them at the same level, confirming their homogeneity as revealed by TOEFL scores.   Instrumentation The following data elicitation tools were employed to measure participants' listening performance under four measurement conditions discussed above (oral versus written item modality and note-taking versus no-note-taking condition).     Listening Test 1 The first listening test was the listening section of an institutional PBT TOEFL. The test consisted of 20 mini-talks, each followed by a multiple choice question. The mini-talks were randomly selected from among 150 items provided in the Complete TOEFL Test section of Longman Preparation Course for the TOEFL Test by Deborah Phillips (2003) published by Pearson ESL. The items in this pack are claimed to be similar to real TOEFL in terms of content and difficulty, hence evidence for its construct validity. In order to provide data for the first research question, two versions of this test were produced: the first version with written item modality (for both the stem and the options) and the second version with item stems in the oral mode (but with the options in the written mode). K-R 21 was utilized to estimate the reliability of the test, which was estimated to be 0.75.   Listening Test 2 A second test of listening (based on the same sample tests as above) was employed to provide data for the second research question. The test consisted of two long conversations and three talks. For each conversation or talk, there were four multiple choice items that the students had to answer after listening to each conversation or talk. The texts used in this test ranged in length from 100 to 150 words. These texts and questions were selected randomly from among 20 talks and 20 long conversations in Complete TOEFL Test section of Longman Preparation Course for the TOEFL Test and were assumed to be valid in content and difficulty as they represented real TOEFL items. The test was administered to the same participants as above in a different session. In administering the test, one group was not allowed to take notes, while the other group was instructed to take notes (using the note-taking sheets provided) while listening to the talks/conversations. K-R 21 was also used to estimate the test’s reliability, and the results revealed a high index of reliability of 0.79.   Listening Proficiency Test In order to have a controlled level of listening proficiency and work with homogeneous participants, the Listening Section of an institutional version of TOEFL was administered at the beginning of the study. The test had 20 multiple choice items, and enjoyed a reliability index of 0.86.   Data Collection Procedure The following steps were taken to conduct this study: First, a listening proficiency test was administered to all upper-intermediate EFL learners at a language school (as mentioned above) to select that all the candidates who enjoyed a homogeneous listening ability. These learners were all studying “Passages 1” book and were regarded as higher intermediate by institute standards. The results of the proficiency test revealed (see above) that students were indeed homogeneous and of similar language proficiency (in listening).  Then, to provide data for the first research question, thirty three learners (16 males and 17 females) were selected randomly and took the first version of the test, that is, the test with oral item modality while the other 33 testees took the second version with items in written modality.  Subsequent to this, and in another session of the treatment, the second listening test was administered to the same groups in a similar procedure where one group was allowed to take notes and the other was not.   Data Analysis To analyze the elicited data, the data were entered into SPSS (Statistical Package for Social Sciences) software, PASW Statistics 18 and two separate sets of independent samples t-tests were run.   RESULTS Results of the Normality Test To ensure the homogeneity of the participants, the Listening Section of an institutional version of TOEFL test was utilized as explained above. Table 1 shows the results of test of normality for the participants.   Table 1. Tests of normality for the proficiency test   Kolmogrove-Smirnov Shapiro-Wilk   Statistics df. Sig. Statistics df. Sig. Exam Scores .14 66 .06 .93 66 .07      As it can be seen in the table above, the non-signi

Critical Appraisal of Reporting Quality of Case-Control Articles Indexed in SID Website Based on STROBE Statement

The STROBE (strengthening the reporting of observational studies in epidemiology) statement presents recommendations to improve the reporting of observational studies. This study aimed to evaluate the quality of reporting the case-control articles indexed in the Scientific Information Database (SID). This descriptive study was conducted in 2016 in the all case-control articles indexed in the SID website over a 10-year period (2006 to 2015). The researchers visited the SID website and used the keywords of "case" and "control" in titles or keywords of the articles. Then, the STROBE checklist was completed for each article. Data were analyzed using descriptive statistics. The first item of the checklist was observed in 100% of the studied articles. None of these articles had described "duration of exposure" and "how missing data were addressed." None of these articles had used the flowchart. The quality of reporting in studied articles was acceptable, but some of the items in the STROBE checklist need more attention

Correlation of tongue posture with dental arch characteristics in different skeletal patterns using cone-beam computed tomography

  Objectives: This study assessed the correlation of tongue posture with dental arch characteristics in sagittal and vertical skeletal patterns using cone-beam computed tomography (CBCT). Materials and Methods: This cross-sectional study evaluated 225 CBCT scans of sagittal Class I, II, and III patients. Class I and II groups were subdivided into high-angle, normal, and low-angle vertical subgroups. Palatal length, width, and height, maxillary width (Wmax), mandibular width (Wman), tongue posture according to the Graber’s analysis, tongue length (TGL), and tongue height (TGH) were three-dimensionally measured. Statistical analyses were conducted using one-way and two-way ANOVA, and Pearson and Spearman tests (alpha=0.05). Results: All dental arch parameters were significantly greater in Class III, compared with Class I and II groups (P<0.05), except for) Wman, palatal length, and palatal height( . Palatal height was significantly greater in Class II and III, than Class I group (P<0.05). Wmax was lower in high-angle than low-angle, and palatal length was lower in high-angle than low-angle and normal groups (P<0.05). In Class I normal-angle patients, Wmax had a positive correlation with TGL. In Class I low-angle patients, Wmax had a moderate positive correlation with TGH. Conclusion: Significant differences were found in Wmax and palatal length among the vertical groups. In different skeletal patterns Wmax, Wman had a low to moderate positive correlations with D4, D5, D5ʹ, TGL and TGH. Wmax in Class I was significantly lower than that in Class III; this variable in Class II was significantly lower than that in Class III Palatal width in Class I and Class II was significantly lower than that in Class III. Palatal height in Class I was significantly lower than that in Class II and Class III &nbsp

Dystrophic Epidermolysis Bullosa: COL7A1 Mutation Landscape in a Multi-Ethnic Cohort of 152 Extended Families with High Degree of Customary Consanguineous Marriages

Dystrophic epidermolysis bullosa is a heritable skin disease manifesting with sub-lamina densa blistering, erosions, and chronic ulcers. COL7A1, encoding type VII collagen, has been identified as the candidate gene for dystrophic epidermolysis bullosa. In this study, we have identified COL7A1 mutations in a large multi-ethnic cohort of 152 extended Iranian families with high degree of consanguinity. The patients were diagnosed by clinical manifestations, histopathology, and immunoepitope mapping. Mutation detection consisted of a combination of single nucleotide polymorphism-based whole-genome homozygosity mapping, Sanger sequencing, and gene-targeted next-generation sequencing. A total of 104 distinct mutations in COL7A1 were identified in 149 of 152 families (98%), 56 (53%) of them being previously unreported. Ninety percent of these mutations were homozygous recessive, reflecting consanguinity in these families. Three recurrent mutations were identified in five or more families, and haplotype analysis suggested a founder effect in two of them. In conclusion, COL7A1 harbored mutations in the overwhelming majority of patients with dystrophic epi-dermolysis bullosa, and most of them in this Iranian cohort were consistent with autosomal recessive inheri-tance. The mutation profile attests to the impact of consanguinity in these families

Gene-Targeted Next Generation Sequencing Identifies PNPLA1 Mutations in Patients with a Phenotypic Spectrum of Autosomal Recessive Congenital Ichthyosis: The Impact of Consanguinity

Heritable forms of ichthyoses, also referred to as generalized Mendelian disorders of cornification, are phenotypically a highly heterogeneous group of conditions caused by mutations in a number of genes playing a role in keratinocyte differentiation and epidermal barrier function (Baden and Digiovanna, 2013; Schmuth et al., 2013). These diseases are characterized by scaling and hyperkeratosis with associated cutaneous and extracutaneous features. This group of disorders is also genetically heterogeneous, with autosomal dominant, autosomal recessive, and X-linked inheritance being described. A specific subgroup of inherited ichthyoses is the autosomal recessive congenital ichthyosis (ARCI), with many newborns presenting as collodion babies, but the subsequent clinical presentation and the spectrum of severity can be highly variable (Richard and Bale, 2014). In the most severe forms, such as harlequin ichthyosis, the disease is often fatal during the early postnatal period, whereas at the other end of the continuum of the spectrum, the disease may present with a relatively mild scaling and variable degree of palmoplantar keratoderma. There is considerable genetic heterogeneity in ARCI, and as many as nine different genes are known to harbor biallelic mutations; these include TGM1, ALOXE3, ALOX12B, NIPAL4, ABCA12, CYP4F22, PNPLA1, LIPN, and CERS3. Previous reports have suggested that mutations in TGM1 account for 30e65% of patients with ARCI, whereas mutations in LIPN, PNPLA1, and CERS3 have been reported only in a few consanguineous families (Richard and Bale, 2014). With the advent of next generation sequencing (NGS), there has been tremendous progress in facilitating the mutation detection in various heritable skin disorders, including ichthyosis (South et al., 2015; Takeichi et al., 2013). In fact, at least 38 different genes have now been suggested to be associated with the ichthyotic phenotypes, either as the primary mutated genes or modifying the phenotypic presentation. To elucidate the genetic basis of ichthyosis in Iran, a country of approximately 80 million people with high prevalence of customary consanguineous marriages, we developed a gene-targeted NGS array consisting of 38 genes reported in association with ichthyosis phenotypes. Identification of specific mutations in a large number of families has allowed us to examine phenotype/genotype correlations with respect to both intra- and interfamilial heterogeneity, in part because of extensive consanguinity in these families. In this study, we identified six distinct and, to our knowledge, previously unreported mutations in the PNPLA1 gene in nine families

Multigene Next-Generation Sequencing Panel Identifies Pathogenic Variants in Patients with Unknown Subtype of Epidermolysis Bullosa: Subclassification with Prognostic Implications

Purpose: Epidermolysis bullosa (EB), the prototype of heritable blistering diseases, is caused by mutations in as many as 19 distinct genes. In this study, we evaluated the molecular basis of EB in 93 families, many of them of unknown subtype. Methods: A next generation sequencing panel covering 21 EB-related genes was developed, and mutation profiles, together with clinical features, were used to classify the patients into distinct clinical categories. Results: A total of 72 pathogenic or likely pathogenic variants in 68 families were identified in 11 of the EB-associated candidate genes, most of them (75%) being homozygous consistent with considerable consanguinity in the cohort. Approximately half of the mutations (48.6%) were previously unreported. Refined analysis of the types of mutations with addition of variants of unknown significance suspected of causing clinically consistent disease in several patients allowed subclassification of patients into different subcategories of EB in 76 of 91 families, with prognostic implications. A genetically challenging case with homozygous loss-of-function pathogenic mutations in two different EB-associated genes resulting in different subtypes was identified. In addition, secondary findings included identification of known pathogenic variants in DSP associated with arrhythmogenic right ventricular cardiomyopathy. Conclusion: Utilization of next generation sequencing panel of EB-associated genes allowed diagnostic subclassification in the neonates particularly in families of unknown subtype, with prognostication of the overall long-term outcome of the disease

Recessive mutation in tetraspanin CD151 causes Kindler syndrome-like epidermolysis bullosa with multi-systemic manifestations including nephropathy

Epidermolysis bullosa (EB) is caused by mutations in as many as 19 distinct genes. We have developed a next-generation sequencing (NGS) panel targeting genes known to be mutated in skin fragility disorders, including tetraspanin CD151 expressed in keratinocytes at the dermal-epidermal junction. The NGS panel was applied to a cohort of 92 consanguineous families of unknown subtype of EB. In one family, a homozygous donor splice site mutation in CD151 (NM_139029; c.351 + 2T > C) at the exon 5/intron 5 border was identified, and RT-PCR and whole transcriptome analysis by RNA-seq confirmed deletion of the entire exon 5 encoding 25 amino acids. Immunofluorescence of proband's skin and Western blot of skin proteins with a monoclonal antibody revealed complete absence of CD151. Transmission electron microscopy showed intracellular disruption and cell-cell dysadhesion of keratinocytes in the lower epidermis. Clinical examination of the 33-year old proband, initially diagnosed as Kindler syndrome, revealed widespread blistering, particularly on pretibial areas, poikiloderma, nail dystrophy, loss of teeth, early onset alopecia, and esophageal webbing and strictures. The patient also had history of nephropathy with proteinuria. Collectively, the results suggest that biallelic loss-of-function mutations in CD151 underlie an autosomal recessive mechano-bullous disease with systemic features. Thus, CD151 should be considered as the 20th causative, EB-associated gene

Differential cross section measurements for the production of a W boson in association with jets in proton–proton collisions at √s = 7 TeV

Measurements are reported of differential cross sections for the production of a W boson, which decays into a muon and a neutrino, in association with jets, as a function of several variables, including the transverse momenta (pT) and pseudorapidities of the four leading jets, the scalar sum of jet transverse momenta (HT), and the difference in azimuthal angle between the directions of each jet and the muon. The data sample of pp collisions at a centre-of-mass energy of 7 TeV was collected with the CMS detector at the LHC and corresponds to an integrated luminosity of 5.0 fb[superscript −1]. The measured cross sections are compared to predictions from Monte Carlo generators, MadGraph + pythia and sherpa, and to next-to-leading-order calculations from BlackHat + sherpa. The differential cross sections are found to be in agreement with the predictions, apart from the pT distributions of the leading jets at high pT values, the distributions of the HT at high-HT and low jet multiplicity, and the distribution of the difference in azimuthal angle between the leading jet and the muon at low values.United States. Dept. of EnergyNational Science Foundation (U.S.)Alfred P. Sloan Foundatio