Defining and Measuring the Patient-Centered Medical Home

The patient-centered medical home (PCMH) is four things: 1) the fundamental tenets of primary care: first contact access, comprehensiveness, integration/coordination, and relationships involving sustained partnership; 2) new ways of organizing practice; 3) development of practices’ internal capabilities, and 4) related health care system and reimbursement changes. All of these are focused on improving the health of whole people, families, communities and populations, and on increasing the value of healthcare

Engineering E. coli for improved microaerobic pDNA production.

peer reviewedEscherichia coli strains W3110 and BL21 were engineered for the production of plasmid DNA (pDNA) under aerobic and transitions to microaerobic conditions. The gene coding for recombinase A (recA) was deleted in both strains. In addition, the Vitreoscilla hemoglobin (VHb) gene (vgb) was chromosomally inserted and constitutively expressed in each E. coli recA mutant and wild type. The recA inactivation increased the supercoiled pDNA fraction (SCF) in both strains, while VHb expression improved the pDNA production in W3110, but not in BL21. Therefore, a codon-optimized version of vgb was inserted in strain BL21recA(-), which, together with W3110recA(-)vgb(+), was tested in cultures with shifts from aerobic to oxygen-limited regimes. VHb expression lowered the accumulation of fermentative by-products in both strains. VHb-expressing cells displayed higher oxidative activity as indicated by the Redox Sensor Green fluorescence, which was more intense in BL21 than in W3110. Furthermore, VHb expression did not change pDNA production in W3110, but decreased it in BL21. These results are useful for understanding the physiological effects of VHb expression in two industrially relevant E. coli strains, and for the selection of a host for pDNA production

NEXTGENDEM: información genética, geoespacial y supercomputación para mejorar la gestión de especies y espacios en Macaronesia

Project NEXTGENDEM (MAC2/4.6d/236, https://lupus.itccanarias.org/nextgendem/es/) complements multiple research disciplines to provide verified and validated scientific data that help managers make more informed conservation decisions. As a result of the mobilization and enrichment of the sample and data banks of the Jardín Botánico Canario “Viera y Clavijo” -UA CSIC and the Instituto Nacional de Investigação e Desenvolvimento Agrário de Cabo Verde, tools will be developed for the estimation of phylogenetic diversity of the terrestrial endemic flora of these islands, the approximation to the molecular taxonomic identification of samples, phylogenetic reconstruction, and territorial analysis merging biotic and abiotic variables. Our main objective is to organise, analyse and apply the most relevant scientific knowledge to guide in situ and ex situ actions to improve the conservation status of the flora of Gran Canaria (Canary Islands) and Santiago (Cape Verde), although we plan to incorporate other Macaronesian territories in future projectsEl proyecto NEXTGENDEM (MAC2/4.6d/236, https://lupus.itccanarias.org/nextgendem/es/) complementa múltiples disciplinas de investigación para proporcionar datos científicos contrastados y validados que faciliten a los gestores la toma de decisiones de conservación más informadas. A consecuencia de la movilización y el enriquecimiento de los bancos de muestras y datos del Jardín Botánico Canario ¿Viera y Clavijo¿ ¿ UA CSIC y del Instituto Nacional de Investigação e Desenvolvimento Agrário de Cabo Verde, se pondrán a punto herramientas para la estimación de la diversidad filogenética de la flora terrestre insular, la aproximación a la identificación taxonómica molecular de muestras, la reconstrucción de filogenias, y el análisis territorial integrado con variables bióticas y abióticas. Nuestro objetivo principal es organizar, analizar y aplicar el conocimiento científico más relevante para guiar actuaciones in situ y ex situ que mejoren el estado de conservación de las floras de Gran Canaria (Islas Canarias) y Santiago (Cabo Verde), aunque prevemos incorporar otros territorios macaronésicos en futuros proyecto

A first update on mapping the human genetic architecture of COVID-19

peer reviewe

COGME’s 16th Report to Congress: Too Many Physicians Could Be Worse Than Wasted

Departing from past reports, the latest Council on Graduate Medical Education (COGME) report warns of a physician deficit of 85,000 by 2020 and recommends increases in medical school and residency output. COGME notes that contributions of other clinicians and changes in how medical care is delivered in the future would likely offset physician deficits but chose not to modify their recommendations. COGME offers a relatively minor workforce correction in an otherwise flawed system of health care; however, the nation awaits a reassessment of its physician workforce based on what the nation wants and needs from physicians working in modern systems of care. Great caution should be exercised in expanding the physician workforce. Producing a physician surplus could be far worse than wasted, because the investment required and resulting rise in health care cost may harm, not help, the health of people in the United States. Instead, these resources could be applied in ways that improve health

Evaluation of microbial globin promoters for oxygen-limited processes using Escherichia coli

Abstract Oxygen-responsive promoters can be useful for synthetic biology applications, however, information on their characteristics is still limited. Here, we characterized a group of heterologous microaerobic globin promoters in Escherichia coli. Globin promoters from Bacillus subtilis, Campylobacter jejuni, Deinococcus radiodurans, Streptomyces coelicolor, Salmonella typhi and Vitreoscilla stercoraria were used to express the FMN-binding fluorescent protein (FbFP), which is a non-oxygen dependent marker. FbFP fluorescence was monitored online in cultures at maximum oxygen transfer capacities (OTRmax) of 7 and 11 mmol L−1 h−1. Different FbFP fluorescence intensities were observed and the OTRmax affected the induction level and specific fluorescence emission rate (the product of the specific fluorescence intensity multiplied by the specific growth rate) of all promoters. The promoter from S. typhi displayed the highest fluorescence emission yields (the quotient of the fluorescence intensity divided by the scattered light intensity at every time-point) and rate, and together with the promoters from D. radiodurans and S. coelicolor, the highest induction ratios. These results show the potential of diverse heterologous globin promoters for oxygen-limited processes using E. coli