3,157 research outputs found
Interconnection and damping assignment passivity-based control of mechanical systems with underactuation degree one
Published versio
Atrial fibrillation epidemiology, disparity and healthcare contacts: a population-wide study of 5.6 million individuals
Background: We aimed to evaluate atrial fibrillation occurrence, reasons for healthcare visits, mortality, causes of death and examined patterns by relative deprivation in the UK.
Methods: To study the atrial fibrillation (AF) incidence, mortality and case-fatality, we implemented a prospective cohort study with the linked electronic health records of 5.6 million population in the United Kingdom Clinical Practice Research Datalink from 1998 to 2016. A matched case-control study was used to investigate causes of hospitalisation and death comparing individuals with and without incident AF.
Results: During a median follow-up of 10.3 years, 199,433(3.6%) patients developed incident AF. Increased risk of hospitalisation for heart failure, cardiovascular conditions and infection was present among patients who later developed AF. Following an AF diagnosis, patients were frequently admitted to the hospital for heart failure, lower respiratory tract infection, chronic obstructive pulmonary disease and ischemic heart disease. One in 5 AF patients died during the first year after diagnosis, and the mortality increased to 42.7% at the fifth year. The excess deaths in AF cases compared to controls may result from cardiovascular diseases, infection and metabolic disorders. Individuals from areas with higher deprivation in socioeconomic and living status had both higher AF incidence and fatality.
Interpretation: We observed an elevated risk of hospitalisation for cardiovascular or respiratory diseases among incident AF patients, and the considerable disparity in AF burden by socioeconomic deprivation informs priorities for prevention and provision of patient care
Essential and checkpoint functions of budding yeast ATM and ATR during meiotic prophase are facilitated by differential phosphorylation of a meiotic adaptor protein, Hop1
A hallmark of the conserved ATM/ATR signalling is its ability to mediate a wide range of functions utilizing only a limited number of adaptors and effector kinases. During meiosis, Tel1 and Mec1, the budding yeast ATM and ATR, respectively, rely on a meiotic adaptor protein Hop1, a 53BP1/Rad9 functional analog, and its associated kinase Mek1, a CHK2/Rad53-paralog, to mediate multiple functions: control of the formation and repair of programmed meiotic DNA double strand breaks, enforcement of inter-homolog bias, regulation of meiotic progression, and implementation of checkpoint responses. Here, we present evidence that the multi-functionality of the Tel1/Mec1-to-Hop1/Mek1 signalling depends on stepwise activation of Mek1 that is mediated by Tel1/Mec1 phosphorylation of two specific residues within Hop1: phosphorylation at the threonine 318 (T318) ensures the transient basal level Mek1 activation required for viable spore formation during unperturbed meiosis. Phosphorylation at the serine 298 (S298) promotes stable Hop1-Mek1 interaction on chromosomes following the initial phospho-T318 mediated Mek1 recruitment. In the absence of Dmc1, the phospho-S298 also promotes Mek1 hyper-activation necessary for implementing meiotic checkpoint arrest. Taking these observations together, we propose that the Hop1 phospho-T318 and phospho-S298 constitute key components of the Tel1/Mec1- based meiotic recombination surveillance (MRS) network and facilitate effective coupling of meiotic recombination and progression during both unperturbed and challenged meiosis
Kanamycin uptake into Escherichia coli is facilitated by OmpF and OmpC porin channels located in the outer membrane
Despite decades of therapeutic application of aminoglycosides, it is still a matter of debate if porins contribute to the translocation of the antibiotics across the bacterial outer membrane. Here, we quantified the uptake of kanamycin across the major porin channels OmpF and OmpC present in the outer membrane of Escherichia coli. Our analysis revealed that, despite its relatively large size, about 10–20 kanamycin molecules per second permeate through OmpF and OmpC under a 10 μM concentration gradient, whereas OmpN does not allow the passage. Molecular simulations elucidate the uptake mechanism of kanamycin through these porins. Whole-cell studies with a defined set of E. coli porin mutants provide evidence that translocation of kanamycin via porins is relevant for antibiotic potency. The values are discussed with respect to other antibiotics
Enrichment of trace elements in the clay size fraction of mining soils
Reactive waste dumps with sulfide minerals pro-
14 mote acid mine drainage (AMD), which results in water and
15 soil contamination by metals and metalloids. In these systems,
16 contamination is regulated by many factors, such as mineral-
17 ogical composition of soil and the presence of sorption sites
18 on specific mineral phases. So, the present study dedicates
19 itself to understanding the distribution of trace elements in
20 different size fractions (<2-mm and <2-μm fractions) of min-
21 ing soils and to evaluate the relationship between chemical
22 and mineralogical composition. Cerdeirinha and Penedono,
23 located in Portugal, were the waste dumps under study. The
24 results revealed that the two waste dumps have high degree of
25 contamination by metals and arsenic and that these elements
26 are concentrated in the clay size fraction. Hence, the higher
27 degree of contamination by toxic elements, especially arsenic
28 in Penedono as well as the role of clay minerals, jarosite, and
29 goethite in retaining trace elements has management implica-
30 tions. Such information must be carefully thought in the reha-
31 bilitation projects to be planned for both waste dumps
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The Extended Continental Crust West of Islas MarÃas (Mexico)
The crustal structure around the Islas MarÃas Archipelago has been debated for a long time. An important unresolved question is where the Rivera-North American plate subduction ends and the Tamayo fracture zone begins, from SE to NW. Results from the TsuJal project have shed light on the northwesternmost part of the Jalisco block structure. It is now clear that Sierra de Cleofas and the Islas MarÃas Escarpment comprise the northwestern continuation of the Middle America trench. However, other questions remain. In this paper, we present the structure of the shallow and deep crust and the upper mantle of the Islas MarÃas western region through the integration of multichannel seismic reflection, wide-angle seismic bathymetric and seismicity data, including records of an amphibious seismic network, OBS, and portable seismic stations, purposely deployed for this project, providing an onshore-offshore transect of 310 km length. Our findings disclose new evidence of the complex structure of the Rivera plate that dips 8°–9° underneath the NW Jalisco block as revealed by two seismic profiles parallel to the Islas MarÃas Escarpment. Moreover, we find five sedimentary basins and active normal faults at the edges of tectonic structures of the E-W oriented West Ranges and the N-S trending Sierra de Cleofas. Furthermore, the Sierra de Cleofas is the beginning of the active subduction of the Rivera plate beneath North America. The oceanic crust thickens and submerges towards the south while is coupled with the continental crust, from 6 km at the northern ends of the seismic profiles to 15 km in the contact region and 24 km at the coast and southern ends of them. The continental Moho was not fully characterized because of the geometry of the seismic transects, but a low-velocity layer associated with Rivera Plate subduction was observed beneath the Jalisco Block. Our results constrain the complexity of the area and reveal new structural features from the oceanic to continental crust and will be pivotal to assess geohazards in this area.</jats:p
The coronal plane maximum diameter of deep intracerebral hemorrhage predicts functional outcome more accurately than hematoma volume
Background:
Among prognostic imaging variables, the hematoma volume on admission computed tomography (CT) has long been considered the strongest predictor of outcome and mortality in intracerebral hemorrhage.
Aims:
To examine whether different features of hematoma shape are associated with functional outcome in deep intracerebral hemorrhage.
Methods:
We analyzed 790 patients from the ATACH-2 trial, and 14 shape features were quantified. We calculated Spearman’s Rho to assess the correlation between shape features and three-month modified Rankin scale (mRS) score, and the area under the receiver operating characteristic curve (AUC) to quantify the association between shape features and poor outcome defined as mRS>2 as well as mRS > 3.
Results:
Among 14 shape features, the maximum intracerebral hemorrhage diameter in the coronal plane was the strongest predictor of functional outcome, with a maximum coronal diameter >∼3.5 cm indicating higher three-month mRS scores. The maximum coronal diameter versus hematoma volume yielded a Rho of 0.40 versus 0.35 (p = 0.006), an AUC[mRS>2] of 0.71 versus 0.68 (p = 0.004), and an AUC[mRS>3] of 0.71 versus 0.69 (p = 0.029). In multiple regression analysis adjusted for known outcome predictors, the maximum coronal diameter was independently associated with three-month mRS (p < 0.001).
Conclusions:
A coronal-plane maximum diameter measurement offers greater prognostic value in deep intracerebral hemorrhage than hematoma volume. This simple shape metric may expedite assessment of admission head CTs, offer a potential biomarker for hematoma size eligibility criteria in clinical trials, and may substitute volume in prognostic intracerebral hemorrhage scoring systems
Dead on arrival in a low-income country: results from a multicenter study in Pakistan
BACKGROUND:
This study assessed the characteristics of dead on arrival (DOA) patients in Pakistan.
METHODS:
Data about the DOA patients were extracted from Pakistan National Emergency Department Surveillance study (Pak-NEDS). This study recruited all ED patients presenting to seven tertiary care hospitals during a four-month period between November 2010 and March 2011. This study included patients who were declared dead-on-arrival by the ED physician.
RESULTS:
A total of 1,557 DOA patients (7 per 1,000 visits) were included in the Pak-NEDS. Men accounted for two-thirds (64%) of DOA patients. Those aged 20-49 years accounted for about 46% of DOA patients. Nine percent (n = 72) of patients were brought by ambulance, and most patients presented at a public hospital (80%). About 11% of DOA patients had an injury. Factors significantly associated (p \u3c 0.05) with ambulance use were men (adjusted odds ratio [aOR] = 2.72), brought to a private hospital (OR = 2.74), and being injured (aOR = 1.89). Cardiopulmonary resuscitation (CPR) was performed on 6% (n = 42) of patients who received treatment. Those brought to a private hospital were more likely to receive CPR (aOR = 2.81).
CONCLUSION:
This study noted a higher burden of DOA patients in Pakistan compared to other resourceful settings (about 1 to 2 per 1,000 visits). A large proportion of patients belonging to productive age groups, and the low prevalence of ambulance and CPR use, indicate a need for improving the prehospital care and basic life support training in pakistan
Budding yeast ATM/ATR control meiotic double-strand break (DSB) levels by down-regulating Rec114, an essential component of the DSB-machinery
An essential feature of meiosis is Spo11 catalysis of programmed DNA double strand breaks (DSBs). Evidence suggests that the number of DSBs generated per meiosis is genetically determined and that this ability to maintain a pre-determined DSB level, or "DSB homeostasis", might be a property of the meiotic program. Here, we present direct evidence that Rec114, an evolutionarily conserved essential component of the meiotic DSB-machinery, interacts with DSB hotspot DNA, and that Tel1 and Mec1, the budding yeast ATM and ATR, respectively, down-regulate Rec114 upon meiotic DSB formation through phosphorylation. Mimicking constitutive phosphorylation reduces the interaction between Rec114 and DSB hotspot DNA, resulting in a reduction and/or delay in DSB formation. Conversely, a non-phosphorylatable rec114 allele confers a genome-wide increase in both DSB levels and in the interaction between Rec114 and the DSB hotspot DNA. These observations strongly suggest that Tel1 and/or Mec1 phosphorylation of Rec114 following Spo11 catalysis down-regulates DSB formation by limiting the interaction between Rec114 and DSB hotspots. We also present evidence that Ndt80, a meiosis specific transcription factor, contributes to Rec114 degradation, consistent with its requirement for complete cessation of DSB formation. Loss of Rec114 foci from chromatin is associated with homolog synapsis but independent of Ndt80 or Tel1/Mec1 phosphorylation. Taken together, we present evidence for three independent ways of regulating Rec114 activity, which likely contribute to meiotic DSBs-homeostasis in maintaining genetically determined levels of breaks
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