Miracle-dz/UniFAR-FTUs huggingface dataset:
BSTA Promotes mTORC2-Mediated Phosphorylation of Akt1 to Suppress Expression of FoxC2 and Stimulate Adipocyte Differentiation

Activation of Akt1 during adipocyte differentiation requires a binding partner called BSTA. Akt1 Activator Activation of the kinase Akt1, which requires phosphorylation at Ser473, promotes adipocyte differentiation, which requires suppression of the gene encoding the transcription factor FoxC2. Yao et al. identified a protein they called BSTA (BSD domain–containing signal transducer and Akt interactor) as a binding partner of Akt1 that enhanced its phosphorylation at Ser473 by mTORC2 (mammalian target of rapamycin complex 2). BSTA promoted phosphorylation of Akt1 in differentiating adipocytes, and embryonic stem cells lacking BSTA failed to differentiate into adipocytes, which was caused by lack of suppression of FoxC2. Thus, these results demonstrate that BSTA is an essential activator of Akt1 during adipocyte differentiation. Phosphorylation and activation of Akt1 is a crucial signaling event that promotes adipogenesis. However, neither the complex multistep process that leads to activation of Akt1 through phosphorylation at Thr308 and Ser473 nor the mechanism by which Akt1 stimulates adipogenesis is fully understood. We found that the BSD domain–containing signal transducer and Akt interactor (BSTA) promoted phosphorylation of Akt1 at Ser473 in various human and murine cells, and we uncovered a function for the BSD domain in BSTA-Akt1 complex formation. The mammalian target of rapamycin complex 2 (mTORC2) facilitated the phosphorylation of BSTA and its association with Akt1, and the BSTA-Akt1 interaction promoted the association of mTORC2 with Akt1 and phosphorylation of Akt1 at Ser473 in response to growth factor stimulation. Furthermore, analyses of bsta gene-trap murine embryonic stem cells revealed an essential function for BSTA and phosphorylation of Akt1 at Ser473 in promoting adipocyte differentiation, which required suppression of the expression of the gene encoding the transcription factor FoxC2. These findings indicate that BSTA is a molecular switch that promotes phosphorylation of Akt1 at Ser473 and reveal an mTORC2-BSTA-Akt1-FoxC2–mediated signaling mechanism that is critical for adipocyte differentiation.
Performance Analysis of Small Tuned Transmitting Loop Antennas Evaluated by Experiment and Simulation [Antenna Designer's Notebook]

Frequency-swept input-impedance measurements to determine Q factors and field strengths for an electrically small tuned transmitting loop antenna in its operating environment have recently been made. These observational results are compared with numerical modeling by the computational electromagnetic code NEC-4D, since the validity of this code to simulate the performance of electrically small loops - and, in fact, even the fundamental characteristics of small loop antennas - has been questioned.
Acid stress responses in enterobacteria.

The enteric microogranisms Salmonella, Escherichia coli and Shigella flexneri prefer to grow in neutral pH environments. They nevertheless experience dramatic pH fluctuations in nature and during pathogenesis. In response to environmental encounters with acid, these organisms have evolved complex, inducible acid survival strategies. Regulatory features include an alternative factor (sigma S), 2- component signal transduction systems (PhoP/Q; MviA/? ) and the major iron regulatory protein Fur. Specific survival mechanisms include emergency pH homeostasis by inducible amino acid decarboxylases and probable roles for DNA repair, chaparonins, membrane biogenesis as well as others that remain poorly defined. Continued study of acid survival in these organisms will provide insights regarding stress management and will have a direct impact on our understanding of pathogenesis.
Early Differentiation Between Dengue and Septic Shock by Comparison of Admission Hemodynamic, Clinical, and Laboratory Variables: A Pilot Study

Objective: To compare the clinical, hemodynamic, and laboratory variables, treatment, and outcome in dengue shock syndrome (DSS) and septic shock (SS), with an aim to permit early differentiation at presentation to the emergency department. Design: Retrospective chart review. Setting: A tertiary care pediatric emergency and critical care unit. Patients: Thirty-two patients (16 DSS and 16 SS) between June 2004 and December 2005 who were treated in the emergency department and intensive care using protocols. Interventions: None. Results: There were no differences between groups in terms of age, number with decompensated shock, and Pediatric Risk of Mortality III scores. Differences between DSS and SS were found in heart rate, 120 ± 39 beats per minute versus 158 ± 35 beats per minute (P< 0.01); pulse pressures, 25 ± 8 mm Hg versus 43 ± 8 mm Hg (P< 0.01); presence of systemic inflammatory response syndrome, 9/16 versus 15/16 (P < 0.05); Glasgow Coma Score, 13 ± 3 versus 10 ± 4 (P < 0.05); hematocrit, 42 ± 6 versus 29 ± 7 (P < 0.01); and median platelet count, 29,000/mm3 (interquartile range, 20,500-57,500/mm3) versus 115,500/mm3 (interquartile range, 91,750-182,250/mm3 in SS) (P < 0.01). Patients with SS were more likely to require greater than 40 mL/kg of fluid for initial resuscitation, ventilation, and vasoactive support for shock compared with those with dengue. In the fluid and catecholamine refractory patients, 6 of 16 SS versus 0 of 16 DSS patients were treated with steroids (P < 0.05). The outcome was similar in both groups, with 2 of 16 deaths among children with SS and 1 of 16 in those with DSS. Conclusions: Dengue shock syndrome is likely a distinct entity from SS with some overlapping features. The DSS patients are significantly less likely to have systemic inflammatory response syndrome, be tachycardic, and have a narrower pulse pressure at admission when compared with SS patients. Mental status is better preserved, and spontaneous clinical bleeding is more common in children with DSS compared with those in SS. These likely results from the predominantly vasodilatory state in SS versus vasoconstrictory state that is the initial response in DSS.
Daily Chromium Intake by Infants in Belgium

ABSTRACT. The chromium content of human breast milk, infant formulae, cow's milk and beikost was measured by graphite furnace atomic absorption spectrometry following different digestion steps. No significant variation in chromium concentration during lactation was found. The mean concentration was 0.18 ng/ml. The daily chromium intake for Belgian infants of 3 months of age using different types of food was estimated. Exclusively breast fed infants consumed 0.1 μg/day, while for infants fed cow's milk the intake was five times higher. The exclusive use of commercial infant formulas resulted in an intake of 2 up to 10 μg chromium a day.
Electronic Reminders Improve Procedure Documentation Compliance and Professional Fee Reimbursement

BACKGROUND:Medicolegal, clinical, and reimbursement needs warrant complete and accurate documentation. We sought to identify and improve our compliance rate for the documentation of arterial catheterization in the perioperative setting. METHODS:We first reviewed 12 mo of electronic anesthesia records to establish a baseline compliance rate for arterial catheter documentation. Residents and Certified Registered Nurse Anesthetists were randomly assigned to a control group and experimental group. When surgical incision and anesthesia end were documented in the electronic record keeper, a reminder routine checked for an invasive arterial blood pressure tracing. If a case used an arterial catheter, but no procedure note was observed, the resident or Certified Registered Nurse Anesthetist assigned to the case was sent an automated alphanumeric pager and e-mail reminder. Providers in the control group received no pager or e-mail message. After 2 mo, all staff received the reminders. RESULTS:A baseline compliance rate of 80% was observed (1963 of 2459 catheters documented). During the 2-mo study period, providers in the control group documented 152 of 202 (75%) arterial catheters, and the experimental group documented 177 of 201 (88%) arterial lines (P < 0.001). After all staff began receiving reminders, 309 of 314 arterial lines were documented in a subsequent 2 mo period (98%). Extrapolating this compliance rate to 12 mo of expected arterial catheter placement would result in an annual incremental $40,500 of professional fee reimbursement. CONCLUSIONS:The complexity of the tertiary care process results in documentation deficiencies. Inexpensive automated reminders can drastically improve compliance without the need for complicated negative or positive feedback.
Giant negative T waves in Guillain–Barré syndrome

A Guillain–Barré syndrome patient showed giant negative T waves on electro‐cardiography at the height of the disease, with large left ventricular hypokinesis on echocardiography and extensive defects on 123I‐meta‐iodobenzylguanidine myocardial scintigraphy. Gamma‐globulin improved the neurological symptoms, and the above abnormalities resolved. We speculate that cardiac sympathetic nerve endings were transiently damaged, with consequent myocardial injury, due to norepinephrine toxicity.
Antiarrhythmic effect of endothelin-A receptor antagonist on acute ischemic arrhythmia in isolated rat heart.

AIM To observe the effects of endothelin receptor subtype A (ETA) and B (ETB) antagonists on acute ischemic arrhythmia in isolated rat heart, and to determine whether endogenous endothelin (ET) was implicated in the pathophysiological process of arrhythmia induced by acute myocardial ischemia. METHODS Fifty-three SD male rats were randomized into 8 groups. Heart was isolated and perfused in Langendorff mode and acute ischemia model was established by ligation of the left anterior descending (LAD) coronary artery. The effects of ETA receptor antagonist PD156707 and ETB receptor antagonist IRL1038 on arrhythmia, heart function, the myocardial activity of superoxide dismutase (SOD), and the content of melondialdehyde (MDA) during the acute 60-min ischemic phase were analyzed. RESULTS Pretreatment with PD156707 (20-500 nmol/L) dose-dependently improved the ischemic isolated heart function, enhanced SOD activity and decreased MDA content in the ischemic myocardium, and suppressed the acute ischemic arrhythmia. Conversely pretreatment with IRL1038 did not change the heart function, SOD activity, MDA content, and the acute ischemic arrhythmia significantly as compared with the occlusion control. CONCLUSION ETA receptor antagonist effectively improved heart function, enhanced anti-oxidative function of the myocardium and reduced arrhythmia during the acute ischemic phase in isolated rat hearts, while ETB receptor antagonist did not exert protective effects, suggesting that endogenous ET-1, acting through ETA receptor, may be one of the factors implicated in arrhythmia and impairment to heart function during the acute ischemic phase.
The Effect of Child Sexual Abuse Allegations/ Investigations on the Mother/Child Relationship

In alleged sexual abuse cases, the mother's efforts to provide a protective environment, including detecting signs of abuse and providing support subsequent to abuse, are critical to the child's well-being. This qualitative study, using two focus groups with 10 participants, examines changes in the mother/child relationship after disclosures of sexual abuse of preschoolers. Mother/child relationships were affected by suspicions and discovery of child sexual abuse in the following categories: interference of investigators, behavior problems in the child, parental exhaustion from increased demands, and parenting insecurity. Suggestions for further research and intervention implications are discussed.
Increased Light Exposure Consolidates Sleep and Strengthens Circadian Rhythms in Severe Alzheimer's Disease Patients

Sleep in the nursing home environment is extremely fragmented, possibly in part as a result of decreased light exposure. This study examined the effect of light on sleep and circadian activity rhythms in patients with probable or possible Alzheimer's disease. Results showed that both morning and evening bright light resulted in more consolidated sleep at night, as measured with wrist actigraphy. Evening light also increased the quality of the circadian activity rhythm, as measured by a 5-parameter extended cosine model (amplitude, acrophase, nadir, slope of the curve, and relative width of the peak and trough). Increasing light exposure throughout the day and evening is likely to have the most beneficial effect on sleep and on circadian rhythms in patients with dementia. It would behoove nursing homes to consider increasing ambient light in multipurpose rooms where patients often spend much of their days.
Air quality in Yanbu, Saudi Arabia

ABSTRACT Yanbu, on the Red Sea, is an affluent Saudi Arabian industrial city of modest size. Substantial effort has been spent to balance environmental quality, especially air pollution, and industrial development. We have analyzed six years of observations of criteria pollutants O3, SO2, particles (PM2.5 and PM10) and the known ozone precursors—volatile organic compounds (VOCs) and nitrogen oxides (NOx). The results suggest frequent VOC-limited conditions in which ozone concentrations increase with decreasing NOx and with increasing VOCs when NOx is plentiful. For the remaining circumstances ozone has a complex non-linear relationship with the VOCs. The interactions between these factors at Yanbu cause measurable impacts on air pollution including the weekend effect in which ozone concentrations stay the same or even increase despite significantly lower emissions of the precursors on the weekends. Air pollution was lower during the Eids (al-Fitr and al-Adha), Ramadan and the Hajj periods. During Ramadan, there were substantial night time emissions as the cycle everyday living is almost reversed between night and day. The exceedances of air pollution standards were evaluated using criteria from the U.S. Environmental Protection Agency (EPA), World Health Organization (WHO), the Saudi Presidency of Meteorology and Environment (PME) and the Royal Commission Environmental Regulations (RCER). The latter are stricter standards set just for Yanbu and Jubail. For the fine particles (PM2.5), an analysis of the winds showed a major impact from desert dust. This effect had to be taken into account but still left many occasions when standards were exceeded. Fewer exceedances were found for SO2, and fewer still for ozone. The paper presents a comprehensive view of air quality at this isolated desert urban environment. Implications: Frequent VOC-limited conditions are found at Yanbu in Saudi Arabia that increase ozone pollution if NOx is are reduced. In this desert environment, increased nightlife produces the highest levels of VOCs and NOx at night rather than the day. The effects increase during Ramadan. Fine particles peak twice a day—the morning peak is caused by traffic and increases with decreasing wind, potentially representing health concerns, but the larger afternoon peak is caused by the wind, and it increases with increasing wind speeds. These features suggest that exposure to pollutants must be redefined for such an environment.
Compressive force applied to a manikin's head during mask ventilation

Objective To investigate the compressive force applied to the head during mask ventilation and determine whether this force increases in response to an attempt to correct the mask leak. Methods The authors asked 24 participants (consultants, fellows and nurses) to administer positive pressure ventilation to a modified leak-free, term newborn manikin using a self-inflating bag (SIB) and a Neopuff T-piece device. Recordings were made before and after the participants were informed about their percentage of mask leak and asked to correct this. Airway pressure and flow were measured using a Florian monitor, and the force applied to the head was measured using a concealed custom-made load cell weighing scale. Results There were no differences in the mean (SD) force applied to the head between devices used and before or after the attempt to correct the mask leak (SIB before 2215 (892) and after 2195 (989) g; Neopuff before 1949 (957) and after 2028 (909) g). There was a large variation in force with both devices before and after the attempt (coefficient of variation: SIB before 40% and after 45%; Neopuff before 50% and after 45%). There was no correlation between mask leak and the difference in force used before and after the attempt to correct the mask leak using both devices. Conclusion During mask ventilation of a manikin, the authors observed that large forces were exerted on the head with either an SIB or a Neopuff, but these forces did not increase during the attempt to minimise the mask leak.
Musashi1: An Evolutionally Conserved Marker for CNS Progenitor Cells Including Neural Stem Cells

In situ detection of neural progenitor cells including stem-like cells is essential for studying the basic mechanisms of the generation of cellular diversity in the CNS, upon which therapeutic treatments for CNS injuries, degenerative diseases, and brain tumors may be based. We have generated rat monoclonal antibodies (Mab 14H1 and 14B8) that recognize an RNA-binding protein Musashi1, but not a Musashi1-related protein, Musashi2. The amino acid sequences at the epitope sites of these anti-Musashi1 Mabs are remarkably conserved among the human, mouse, and Xenopus proteins. Spatiotemporal patterns of Musashi1 immunoreactivity in the developing and/or adult CNS tissues of frogs, birds, rodents, and humans indicated that our anti-Musashi1 Mabs reacted with undifferentiated, proliferative cells in the CNS of all the vertebrates tested. Double or triple immunostaining of embryonic mouse brain cells in monolayer cultures demonstrated strong Musashi1 expression in Nestin(+)/RC2(+) cells. The relative number of Musashi1(+)/Nestin(+)/RC2(+) cells increased fivefold when embryonic forebrain cells were cultured to form ‘neurospheres’ in which stem-like cells are known to be enriched through their self-renewing mode of growth. Nestin(+)/RC2(–) cells, which included Tα1-GFP(+) neuronal progenitor cells and GLAST(+) astroglial precursor cells, were also Musashi1(+), as were GFAP(+) astrocytes. Young neurons showed a trace of Musashi1 expression. Cells committed to the oligodendroglial lineage were Musashi(–). Musashi1 was localized to the perikarya of CNS stem-like cells and non-oligodendroglial progenitor cells without shifting to cell processes or endfeet, and is therefore advantageous for identifying each cell and counting cells in situ.
Differential Requirement of SWI/SNF for Androgen Receptor Activity*

The androgen receptor (AR) is a ligand-dependent transcription factor whose activity is required for prostate cancer proliferation. Because ablation of AR activity is a critical goal of prostate cancer therapy, much emphasis has been placed on understanding the accessory proteins that regulate AR function in the prostate. Several co-activators have been shown to be required for full AR activity, including histone acetyl-transferases and TRAP/mediator complexes. SWI/SNF comprises a family of large, multisubunit complexes present in the cell, which contain one of two core ATPases required for nucleosome re-positioning, BRG1 or hBRM. We investigated the specific requirement of the SWI/SNF core ATPases for AR function. Using cells deficient in both BRG1 and hBRM, we show that activation of one AR target promoter, prostate-specific antigen (PSA), requires SWI/SNF chromatin remodeling for activity. A second AR target promoter, probasin, maintained a low level of activation in the absence of SWI/SNF. AR stimulation on the probasin core promoter could be partially induced with BRG1, but hBRM strongly stimulated AR activity. The PSA promoter was only induced by the restoration of hBRM. In contrast, ligand-dependent activation of the estrogen receptor was equally stimulated by BRG1 or hBRM. We demonstrate that the addition of a known enhancer region to the core PSA promoter bypasses the requirement for SWI/SNF on the PSA promoter, indicating that elements upstream of specific proximal promoters can impact the influence of the SWI/SNF complex on target gene activation. Addition of the enhancer to the probasin core promoter failed to impact the SWI/SNF requirement. In summary, SWI/SNF function potently regulates core AR target gene promoter activation, with a preference for hBRM-containing complexes. These studies highlight a role for the enhancer in altering the impact of SWI/SNF action and suggest a disparity in AR target genes for SWI/SNF requirement.
A prospective study of the case-notes of MRSA-positive patients: a vehicle of MRSA spread.

INTRODUCTION Methicillin-resistant Staphylococcus aureus (MRSA) has received much publicity and remains a major problem for the health service. The aim of this study was to determine whether case-notes of MRSA-positive patients can act as a vehicle for MRSA transmission. PATIENTS AND METHODS A prospective study was performed of patients with active MRSA infection identified from a microbiology department database. Two swabs were taken from the cover of the case-notes and the page with the most recent entry for identification of MRSA using MRSA ID (Chromogenic agar medium), Pastorex and DNase tests. Positive case-notes were re-swabbed 96 h later. RESULTS A total of 50 MRSA-positive patients were identified from medical, surgical, high dependency and intensive care wards. Three sets of notes were MRSA positive (3/50; 6%). None of the positive case-notes was positive on re-swabbing at 96 h. CONCLUSIONS Case-notes of MRSA-positive patients can act as carriers of MRSA with the potential to spread MRSA to both healthcare and non-healthcare workers without direct contact with infected patients. We recommend extending the universal precautions to the handling of case-notes belonging to MRSA-infected patients.
Locating Pain in Breast Cancer Survivors Experiencing Dyspareunia: A Randomized Controlled Trial

OBJECTIVE: To locate sites of genital tenderness in breast cancer survivors not using estrogen who experience dyspareunia and to test the hypothesis that tenderness is limited to the vulvar vestibule rather than the vagina and is reversed by topical anesthetic. METHODS: Postmenopausal survivors of breast cancer with moderate and severe dyspareunia were recruited for an examination including randomization to a double-blind intervention using topical aqueous 4% lidocaine or normal saline for 3 minutes to the areas found to be tender. Comparisons of changes in patients' reported numerical rating scale values were made with the Wilcoxon rank-sum test with significance set at P<. 05. RESULTS: Forty-nine patients aged 37–69 years (mean 55.6±8.6 years) had a median coital pain score of 8 (interquartile range 7–9, scale 0–10). On examination, all women had tenderness in the vulvar vestibule (worst site 4 o'clock median 6, 4–7). In addition, one had significant vaginal mucosal tenderness and two had pelvic floor myalgia. All had vulvovaginal atrophy with 86% having no intravaginal discharge. Aqueous lidocaine 4% reduced the vestibular tenderness of all painful sites. For example, pain at the worst site changed from a median of 5 (4–7) to 0 (0–1) as compared with saline placebo, which changed the worst site score from 6 (4–7) to 4 (3–6) (P<.001). After lidocaine application, speculum placement was nontender in the 47 without either myalgia or vaginal mucosal tenderness. CONCLUSION: In breast cancer survivors with dyspareunia, exquisite sensitivity was vestibular and reversible with aqueous lidocaine. Vaginal tenderness was rare despite severe atrophy. CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov, www.clinicaltrials. gov, NCT01539317. LEVEL OF EVIDENCE: I