bluuebunny/crossref_metadata_2025 huggingface dataset:
Are the amide bonds inN-acyl imidazoles twisted? A combined solid-state17O NMR, crystallographic, and computational study
Authors: Kong Xianqi , Tang Aaron , Wang Ruiyao , Ye Eric , Terskikh Victor , Wu Gang
Published: October 2014

We report synthesis of17O-labeling and solid-state17O NMR measurements of three N-acyl imidazoles of the type R-C(17O)-Im: R = p-methoxycinnamoyl (MCA-Im), R = 4-(dimethylamino)benzoyl (DAB-Im), and R = 2,4,6-trimethylbenzoyl (TMB-Im). Solid-state17O NMR experiments allowed us to determine for the first time the17O quadrupole coupling and chemical shift tensors in this class of organic compounds. We also determined the crystal structures of these compounds using single-crystal X-ray diffraction. The crystal structures show that, while the C(O)–N amide bond in DAB-Im exhibits a small twist, those in MCA-Im and TMB-Im are essentially planar. We found that, in these N-acyl imidazoles, the17O quadrupole coupling and chemical shift tensors depend critically on the torsion angle between the conjugated acyl group and the C(O)–N amide plane. The computational results from a plane-wave DFT approach, which takes into consideration the entire crystal lattice, are in excellent agreement with the experimental solid-state17O NMR results. Quantum chemical computations also show that the dependence of17O NMR parameters on the Ar–C(O) bond rotation is very similar to that previously observed for the C(O)–N bond rotation in twisted amides. We conclude that one should be cautious in linking the observed NMR chemical shifts only to the twist of the C(O)–N amide bond.
What do ecological regions tell us about wood quality? A case study in eastern Canadian white spruce
Authors: Lenz Patrick , Deslauriers Marie , Ung Chhun-Huor , MacKay John , Beaulieu Jean
Published: October 2014

There is a growing interest in improving knowledge on wood quality of forest resources to allow for an end-product oriented supply for the wood-processing industry. We investigated the differences of white spruce (Picea glauca (Moench) Voss) wood traits from 13 ecological regions of the eastern Canadian province of Quebec and identified climatic and geographic variables and tree characteristics that may help predict wood traits in novel approaches to forest inventories. One hundred and eleven wood disks were used to determine wood traits that are related to wood anatomy and to mechanical use of wood. Our results indicate significant differences between ecological regions for most of the investigated wood traits. Samples from several coastal regions showed, for example, wood anatomy that is advantageous for some pulp and paper grades, but they offer comparatively weak estimates for mechanical applications. Ordination and projection to latent structures allowed us to identify maximum temperature, degree days, geographic location, tree height, and tree diameter as important predictor variables for wood traits. The quality of models was variable and R2 values ranged from 0.13 to 0.59. Prediction errors in an independent sample were mostly below 10%, and bias was below 5%. Although the prediction of wood mechanics was less precise, the presented results are an encouraging step toward obtaining a wood trait signature for different environments.
Atorvastatin-mediated protection of the retina in a model of diabetes with hyperlipidemia
Authors: Fernandes Rosa , Bento Carla F. , Matafome Paulo , Sena Cristina M. , Seiça Raquel M. , Pereira Paulo
Published: October 2014

Insulin resistance, a key feature of obesity, metabolic syndrome, and type 2 diabetes mellitus (T2DM), results in a variety of metabolic and vascular abnormalities. Metabolic disturbances associated with diabetes could contribute to disrupting the structural and (or) functional integrity of the retina. The effects of atorvastatin on retinal cells in hyperlipidemic T2DM rats have not yet been investigated. We used Goto–Kakizaki (GK) rats fed with an atherogenic diet (AD) for 4 months to investigate whether atorvastatin (administered for 1 month) would slow-down or reverse the progression of lesions in the diabetic retina. Fluorogenic substrates were used to measure the proteasome activities in retinal cells. The production of reactive oxygen species was determined by immunofluorescence in frozen retina sections, using dihydroethydium. Nitrotyrosine levels were assessed using immunohistochemistry. Protein levels of ubiquitin conjugates, free ubiquitin, and ubiquitin activating enzyme E1 were determined with Western blotting. Atorvastatin significantly reduced the levels of oxidative stress that were induced by the AD and restored the proteasome activities in the diabetic GK rats. Atorvastatin therapy significantly improved local oxidative stress levels in GK rats fed with AD. Atorvastatin can, at least in part, restore the ubiquitin proteasome system, and may represent a pharmacological approach to prevent some of the complications associated with diabetic retinopathy.
Modeling of Log-Transformed Speckle Noise in the Contourlet Transform Domain for Medical Ultrasound Images
Authors: Kabir Shahriar Mahmud , Bhuiyan Mohammed Imamul Hassan
Published: October 2014

Speckle noise in medical ultrasound (US) degrades the image quality and reduces its diagnostic value. Reduction of speckle noise is an important pre-processing step for the analysis and processing of medical ultrasound images. Knowledge of the statistics of the log-transformed speckle especially in the multi-resolution transform domain is important for developing effective homomorphic despeckling techniques, the most popular approach of speckle reduction from ultrasound images. In this paper, the bessel K-form (BKF) probability density function (pdf) is proposed as a highly suitable prior for modeling the log-transformed speckle noise in the well-known contourlet transform domain. A maximum likelihood based method is introduced for estimating the parameters of the BKF pdf. The effectiveness of the proposed estimation method is demonstrated using Monte Carlo simulations. The appropriateness of the BKF pdf in modeling the speckle is first studied extensively for simulated noise of different levels in the contourlet transform domain. Next, the suitability of BKF model is investigated for the case of real US images that include neonatal brain and breast tumors. It is shown that, in general the BKF prior can model the statistics of the contourlet transform coefficients corresponding to the log-transformed speckle better than the traditionally used Gaussian, normal inverse Gaussian and generalized Nakagami pdfs.
The active form of vitamin D, calcitriol, induces a complex dual upregulation of endothelin and nitric oxide in cultured endothelial cells
Authors: Martínez-Miguel Patricia , Valdivielso Jose Manuel , Medrano-Andrés Diana , Román-García Pablo , Cano-Peñalver Jose Luis , Rodríguez-Puyol Manuel , Rodríguez-Puyol Diego , López-Ongil Susana
Published: October 2014

Despite the presence of vitamin D receptor (VDR) in endothelial cells, the effect of vitamin D on endothelial function is unknown. An unbalanced production of vasoactive endothelial factors such as nitric oxide (NO) or endothelin-1 (ET-1) results in endothelial dysfunction, which can alter the normal cardiovascular function. Present experiments were devoted to assess the effect of active vitamin D (calcitriol) on the synthesis of endothelial vasoactive factors. The results were that, in cells, calcitriol increased ET-1 and NO productions, which were measured by ELISA and fluorimetric assay, respectively. Calcitriol also increased endothelin-converting enzyme-1 (ECE-1) and endothelial-nitric oxide synthase (eNOS) activities, their mRNA (qPCR), their protein expressions (Western-blot), and their promoter activities (transfection assays). Calcitriol did not change prepro-ET-1 mRNA. The effect was specific to VDR activation because when VDR was silenced by siRNA, the observed effects disappeared. Mechanisms involved in each upregulation differed. ECE-1 upregulation depended on AP-1 activation, whereas eNOS upregulation depended directly on VDR activation. To evaluate the in vivo consequences of acute calcitriol treatment, normal Wistar rats were treated with a single ip injection of 400 ng/kg calcitriol and euthanized 24 h later. Results confirmed those observed in cells, that production and expression of both factors were increased by calcitriol. Besides, calcitriol-treated rats showed a slight rise in mean blood pressure, which decreased when pretreated with FR-901533, an ECE-1 antagonist. We conclude that calcitriol increases the synthesis of both ET-1 and NO in endothelial cells. However, the ET-1 upregulation seems to be biologically more relevant, as animals acutely treated with calcitriol show slight increases in blood pressure.
In utero exposure to prepregnancy maternal obesity and postweaning high-fat diet impair regulators of mitochondrial dynamics in rat placenta and offspring
Authors: Borengasser Sarah J. , Faske Jennifer , Kang Ping , Blackburn Michael L. , Badger Thomas M. , Shankar Kartik
Published: October 2014

The proportion of pregnant women who are obese at conception continues to rise. Compelling evidence suggests the intrauterine environment is an important determinant of offspring health. Maternal obesity and unhealthy diets are shown to promote metabolic programming in the offspring. Mitochondria are maternally inherited, and we have previously shown impaired mitochondrial function in rat offspring exposed to maternal obesity in utero. Mitochondrial health is maintained by mitochondrial dynamics, or the processes of fusion and fission, which serve to repair damaged mitochondria, remove irreparable mitochondria, and maintain mitochondrial morphology. An imbalance between fusion and fission has been associated with obesity, insulin resistance, and reproduction complications. In the present study, we examined the influence of maternal obesity and postweaning high-fat diet (HFD) on key regulators of mitochondrial fusion and fission in rat offspring at important developmental milestones which included postnatal day (PND)35 (2 wk HFD) and PND130 (∼16 wk HFD). Our results indicate HFD-fed offspring had reduced mRNA expression of presenilin-associated rhomboid-like (PARL), optic atrophy (OPA)1, mitofusin (Mfn)1, Mfn2, fission (Fis)1, and nuclear respiratory factor (Nrf)1 at PND35, while OPA1 and Mfn2 remained decreased at PND130. Putative transcriptional regulators of mitochondrial dynamics were reduced in rat placenta and offspring liver and skeletal muscle [peroxisome proliferator-activated receptor gamma coactivator (PGC1)α, PGC1β, and estrogen-related receptor (ERR)α], consistent with indirect calorimetry findings revealing reduced energy expenditure and impaired fat utilization. Overall, maternal obesity detrimentally alters mitochondrial targets that may contribute to impaired mitochondrial health and increased obesity susceptibility in later life.
A Novel Energy Recovery System for Parallel Hybrid Hydraulic Excavator
Authors: Li Wei , Cao Baoyu , Zhu Zhencai , Chen Guoan
Published: October 2014

Hydraulic excavator energy saving is important to relieve source shortage and protect environment. This paper mainly discusses the energy saving for the hybrid hydraulic excavator. By analyzing the excess energy of three hydraulic cylinders in the conventional hydraulic excavator, a new boom potential energy recovery system is proposed. The mathematical models of the main components including boom cylinder, hydraulic motor, and hydraulic accumulator are built. The natural frequency of the proposed energy recovery system is calculated based on the mathematical models. Meanwhile, the simulation models of the proposed system and a conventional energy recovery system are built by AMESim software. The results show that the proposed system is more effective than the conventional energy saving system. At last, the main components of the proposed energy recovery system including accumulator and hydraulic motor are analyzed for improving the energy recovery efficiency. The measures to improve the energy recovery efficiency of the proposed system are presented.
First Description of KPC-2-ProducingKlebsiella oxytocaIsolated from a Pediatric Patient with Nosocomial Pneumonia in Venezuela
Authors: Labrador Indira , Araque María
Published: October 2014

During the last decade, carbapenem resistance has emerged among clinical isolates of the Enterobacteriaceae family. This has been increasingly attributed to the production ofβ-lactamases capable of hydrolyzing carbapenems. Among these enzymes,Klebsiella pneumoniaecarbapenemases (KPCs) are the most frequently and clinically significant class-A carbapenemases. In this report, we describe the first nosocomial KPC-2-producingK. oxytocaisolated from a pediatric patient with pneumonia admitted to the intensive care unit at The Andes University Hospital, Mérida, Venezuela. This strain was resistant to several antibiotics including imipenem, ertapenem, and meropenem but remained susceptible to ciprofloxacin, colistin, and tigecycline. Conjugation assays demonstrated the transferability of all resistance determinants, except aminoglycosides. The isolate LMM-SA26 carried a ~21 kb conjugative plasmid that harbored theblaKPC-2,blaCTX-M-8, andblaTEM-15genes. Although carbapenem resistance in the Enterobacteriaceae is still unusual in Venezuela, KPCs have a great potential to spread due to their localization on mobile genetic elements. Therefore, rapid detection of KPC-carrying bacteria with phenotypic and confirmatory molecular tests is essential to establish therapeutic options and effective control measures.
Occurrence of Autoimmune Diseases Related to the Vaccine against Yellow Fever
Authors: Oliveira Ana Cristina Vanderley , Maria Henrique da Mota Licia , dos Santos-Neto Leopoldo Luiz , De Carvalho Jozélio Freire , Caldas Iramaya Rodrigues , Martins Filho Olindo Assis , Tauil Pedro Luis
Published: October 2014

Yellow fever is an infectious disease, endemic in South America and Africa. This is a potentially serious illness, with lethality between 5 and 40% of cases. The most effective preventive vaccine is constituted by the attenuated virus strain 17D, developed in 1937. It is considered safe and effective, conferring protection in more than 90% in 10 years. Adverse effects are known as mild reactions (allergies, transaminases transient elevation, fever, headache) and severe (visceral and neurotropic disease related to vaccine). However, little is known about its potential to induce autoimmune responses. This systematic review aims to identify the occurrence of autoinflammatory diseases related to 17D vaccine administration. Six studies were identified describing 13 possible cases. The diseases were Guillain-Barré syndrome, multiple sclerosis, multiple points evanescent syndrome, acute disseminated encephalomyelitis, autoimmune hepatitis, and Kawasaki disease. The data suggest that 17D vaccination may play a role in the mechanism of loss of self-tolerance.
Geochemistry, Paragenesis, and Wall-Rock Alteration of the Qatruyeh Iron Deposits, Southwest of Iran: Implications for a Hydrothermal-Metasomatic Genetic Model
Authors: Asadi Sina , Rajabzadeh Mohammad Ali
Published: October 2014

The Qatruyeh iron deposits, located on the eastern border of the NW-SE trending Sanandaj-Sirjan metamorphic zone, southwest of Iran, are hosted by a late Proterozoic to early Paleozoic sequence dominated by metamorphosed carbonate rocks. The magnetite ores occurred as layered to massive bodies, with lesser amounts of disseminated magnetite and hematite-bearing veins. Textural evidences, along with geochemical analyses of the high field strengths (HFSEs), large ion lithophiles (LILEs), and rare earth elements (REEs), indicate that the main mineralization stage occurred as low-grade layered magnetite ores due to high-temperature hydrothermal fluids accompanied by Na-Ca alteration. Most of the main ore-stage minerals precipitated from an aqueous-carbonic fluid (3.5–15 wt.% NaCl equiv.) at temperatures ranging between 300° and 410°C during fluid mixing process, CO2 effervescence, cooling, and increasing of pH. Low-temperature hydrothermal activity subsequently produced hematite ores associated with propylitic alteration. The metacarbonate host rocks are LILE-depleted and HFSE-enriched due to metasomatic alteration.
A Modified Method of Insulin Producing Cells’ Generation from Bone Marrow-Derived Mesenchymal Stem Cells
Authors: Czubak Paweł , Bojarska-Junak Agnieszka , Tabarkiewicz Jacek , Putowski Lechosław
Published: October 2014

Type 1 diabetes mellitus is a result of autoimmune destruction of pancreatic insulin producingβ-cells and so far it can be cured only by insulin injection, by pancreas transplantation, or by pancreatic islet cells’ transplantation. The methods are, however, imperfect and have a lot of disadvantages. Therefore new solutions are needed. The best one would be the use of differentiated mesenchymal stem cells (MSCs). In the present study, we investigated the potential of the bone marrow-derived MSCs line forin vitrodifferentiation into insulin producing cells (IPSs). We applied an 18-day protocol to differentiate MSCs. Differentiating cells formed cell clusters some of which resembled pancreatic islet-like cells. Using dithizone we confirmed the presence of insulin in the cells. What is more, the expression of proinsulin C-peptide in differentiated IPCs was analyzed by flow cytometry. For the first time, we investigated the influence of growth factors’ concentration on IPCs differentiation efficiency. We have found that an increase in the concentration of growth factors up to 60 ng/mL ofβ-FGF/EGF and 30 ng/mL of activin A/β-cellulin increases the percentage of IPCs. Further increase of growth factors does not show any increase of the percentage of differentiated cells. Our findings suggest that the presented protocol can be adapted for differentiation of insulin producing cells from stem cells.
Selection of Microstrip Patch Antenna Substrate for WLAN Application Using Multiple Attribute Decision Making Approach
Authors: Gupta Navneet , Raman Rituraj
Published: October 2014

This paper presents a material selection approach for selecting microstrip patch antenna substrate for WLAN applications using multiple attribute decision making (MADM) approach. In this paper, different microwave dielectric materials for substrate and their properties like relative permittivity, quality factor, and temperature coefficient of the resonant frequency are taken into consideration and MADM approach is applied to select the best material for microstrip patch antenna. It is observed that Pb0.6Ca0.4ZrO3is the best material for the antenna substrate in MPA for WLAN applications. It was observed that the proposed result is in accordance with the experimental finding thus justifying the validity of the proposed study.
Update on Intra-Arterial Chemotherapy for Retinoblastoma
Authors: Zanaty Mario , Barros Guilherme , Chalouhi Nohra , Starke Robert M. , Manasseh Philip , Tjoumakaris Stavropoula I. , Shields Carol L. , Hasan David , Bulsara Ketan , Rosenwasser Robert H. , Jabbour Pascal
Published: October 2014

The tools for managing retinoblastoma have been increasing in the past decade. While globe-salvage still relies heavily on intravenous chemotherapy, tumors in advanced stage that failed chemotherapy are now referred for intra-arterial chemotherapy (IAC) to avoid enucleation. However, IAC still has many obstacles to overcome. We present an update on the indications, complications, limitations, success, and technical aspects of IAC. Given its safety and high efficacy, it is expected that IAC will replace conventional strategies and will become a first-line option even for tumors that are amenable for other strategies.
Er:YAG Laser for Brackets Bonding: A SEM Study after Debonding
Authors: Ierardo G. , Di Carlo G. , Petrillo F. , Luzzi V. , Vozza I. , Migliau G. , Kornblit R. , Rocca J. P. , Polimeni A.
Published: October 2014

Background. The introduction of Er:YAG laser in dentistry for ablation of hard tissues advocated an alternative method of enamel etching for orthodontics purpose.Materials and Methods. 55 extracted human third molars were inserted in acrylic resin blocks and divided into five groups of 11 teeth. Group 1 was treated with 37% orthophosphoric acid for 30 seconds. Group 2 was treated with laser irradiation (Er:YAG Fidelius III, Fotona, Slovenia) at 80 mJ and 4 Hz. Group 3 underwent laser treatment (80 mJ, 4 Hz), followed by 37% orthophosphoric acid for 30 seconds. The teeth in Group 4 were treated with laser at 40 mJ and 10 Hz. The teeth in Group 5 were treated with laser (40 mJ, 10 Hz), followed by 37% orthophosphoric acid for 30 seconds. The adhesive remnant index was determined after debonding.Results. Kruskas-Wallis test showed that location parameters (median and mean) are significantly different between Groups 2 and 4 when compared with control group; on the contrary no significant difference was detected between Groups 3 and 5 with the controls.Conclusion. The use of Er:YAG laser alone, as in Groups 2 and 4, showed no significant advantages over phosphoric acid in the bonding procedure for orthodontics brackets.
Beetroot (Beta vulgarisL.) Extract Ameliorates Gentamicin-Induced Nephrotoxicity Associated Oxidative Stress, Inflammation, and Apoptosis in Rodent Model
Authors: El Gamal Ali A. , AlSaid Mansour S. , Raish Mohammad , Al-Sohaibani Mohammed , Al-Massarani Shaza M. , Ahmad Ajaz , Hefnawy Mohamed , Al-Yahya Mohammed , Basoudan Omer A. , Rafatullah Syed
Published: October 2014

The present investigation was designed to investigate the protective effect of (Beta vulgarisL.) beat root ethanolic extract (BVEE) on gentamicin-induced nephrotoxicity and to elucidate the potential mechanism. Serum specific kidney function parameters (urea, uric acid, total protein, creatinine, and histopathology of kidney tissue) were evaluated to access gentamicin-induced nephrotoxicity. The oxidative/nitrosative stress (Lipid peroxidation, MDA, NP-SH, Catalase, and nitric oxide levels) was assessed. The inflammatory response (TNF-α, IL-6, MPO, NF-κB (p65), and NF-κB (p65) DNA binding) and apoptotic marker (Caspase-3, Bax, and Bcl-2) were also evaluated. BVEE (250 and 500 mg/kg) treatment along with gentamicin restored/increased the renal endogenous antioxidant status. Gentamicin-induced increased renal inflammatory cytokines (TNF-αand IL-6), nuclear protein expression of NF-κB (p65), NF-κB-DNA binding activity, myeloperoxidase (MPO) activity, and nitric oxide level were significantly down regulated upon BVEE treatment. In addition, BVEE treatment significantly reduced the amount of cleaved caspase 3 and Bax, protein expression and increased the Bcl-2 protein expression. BVEE treatment also ameliorated the extent of histologic injury and reduced inflammatory infiltration in renal tubules. These findings suggest that BVEE treatment attenuates renal dysfunction and structural damage through the reduction of oxidative stress, inflammation, and apoptosis in the kidney.
Identification of ATR–Chk1 Pathway Inhibitors That Selectively Target p53-Deficient Cells without Directly Suppressing ATR Catalytic Activity
Authors: Kawasumi Masaoki , Bradner James E. , Tolliday Nicola , Thibodeau Renee , Sloan Heather , Brummond Kay M. , Nghiem Paul
Published: October 2014

Resistance to DNA-damaging chemotherapy is a barrier to effective treatment that appears to be augmented by p53 functional deficiency in many cancers. In p53-deficient cells in which the G1–S checkpoint is compromised, cell viability after DNA damage relies upon intact intra-S and G2–M checkpoints mediated by the ATR (ataxia telangiectasia and Rad3 related) and Chk1 kinases. Thus, a logical rationale to sensitize p53-deficient cancers to DNA-damaging chemotherapy is through the use of ATP-competitive inhibitors of ATR or Chk1. To discover small molecules that may act on uncharacterized components of the ATR pathway, we performed a phenotype-based screen of 9,195 compounds for their ability to inhibit hydroxyurea-induced phosphorylation of Ser345 on Chk1, known to be a critical ATR substrate. This effort led to the identification of four small-molecule compounds, three of which were derived from known bioactive library (anthothecol, dihydrocelastryl, and erysolin) and one of which was a novel synthetic compound termed MARPIN. These compounds all inhibited ATR-selective phosphorylation and sensitized p53-deficient cancer cells to DNA-damaging agents in vitro and in vivo. Notably, these compounds did not inhibit ATR catalytic activity in vitro, unlike typical ATP-competitive inhibitors, but acted in a mechanistically distinct manner to disable ATR–Chk1 function. Our results highlight a set of novel molecular probes to further elucidate druggable mechanisms to improve cancer therapeutic responses produced by DNA-damaging drugs. Cancer Res; 74(24); 7534–45. ©2014 AACR.
New Strategies in Breast Cancer: The Significance of Molecular Subtypes in Systemic Adjuvant Treatment for Small T1a,bN0M0 Tumors
Authors: Sonnenblick Amir , Fumagalli Debora , Azim Hatem A. , Sotiriou Christos , Piccart Martine
Published: October 2014

Awareness of breast cancer heterogeneity has strikingly increased in the past decade in parallel with the development of high-throughput molecular tests. Beyond the clear usefulness of antiestrogen treatment in luminal tumors and trastuzumab in HER2-positive tumors, breast cancer subtypes may have additional clinical and predictive roles that can be relevant to clinical practice. In this article, we discuss the significance of molecular subtypes in the systemic treatment of early-stage breast tumors smaller than 1 cm (T1a,bN0M0) and suggest new strategies for future treatment recommendations for these patients. Clin Cancer Res; 20(24); 6242–6. ©2014 AACR.
Relationships between Estimation Errors and Falls in Healthy Aged Dwellers
Authors: Fujimoto Akira , Hori Hideaki , Tamura Taro , Hirai Takayoshi , Umemura Tomohiro , Iguchi Fumio , Sawa Satomi , Ogawa Kouhei , Sato Kazuhiro , Kusaka Yukinori
Published: October 2014

Background: Although fall predictions using motor ability have been well reported in elderly people, there are few reports on physical cognitive ability. Objective: To examine the relationship of the results of motor function tests that include physical cognitive ability on the ability to predict falls and to determine which test is the most appropriate. Methods: We studied 174 community-dwelling elderly adults (mean age 75.7 ± 5.7, 41 males and 133 females), and measured grip strength, one-leg standing time (OLS), timed up and go test (TUG), functional reach test, sit and reach test, and maximal step length (MSL). The estimation error (EE), which was defined as the difference between the predicted and actual values, was calculated in all motor ability tests. Other assessments included the number of falls in the previous year, BMI, frequency of going out, Mini-Mental State Examination score, and Falls Efficacy Scale. In the baseline study, we divided the subjects into a fall group (n = 33) and a nonfall group (n = 141) and compared motor ability and EE for the two groups. During a 1-year follow-up, the nonfall group (baseline study) was assessed for the same measurements by using the same methods. Results: In the baseline study, the fall group had significantly lower values of OLS and MSL. Furthermore, the fall group significantly overestimated their OLS, TUG, and MSL. In logistic regression analysis, EE of TUG (OR = 1.27) and EE of MSL (OR = 1.08) were detected as risk factors for falls. During follow-up, 11 subjects (7.8%) experienced falls. In logistic regression analysis, TUG (OR = 1.89) and EE of MSL (OR = 1.06) were detected as significant risk factors for falls. Since EE of MSL had higher values of both the area under the receiver operating characteristic curve and the sum of sensitivity and specificity than EE of TUG, the nonfall group was divided into two groups with a cutoff value of 2 cm for EE of MSL. A significant distribution disparity in falls between the two groups was found during follow-up and showed a relative risk of 18.78 for EE of MSL. Conclusions: We suggest that EE of MSL is a potent predictor for falls among healthy elderly adults.
Towards a Future Robotic Home Environment: A Survey
Authors: Güttler Jörg , Georgoulas Christos , Linner Thomas , Bock Thomas
Published: October 2014

Purpose: Demographic change has resulted in an increase of elderly people, while at the same time the number of active working people is falling. In the future, there will be less caretaking, which is necessary to support the aging population. In order to enable the aged population to live in dignity, they should be able to perform activities of daily living (ADLs) as independently as possible. The aim of this paper is to describe several solutions and concepts that can support elderly people in their ADLs in a way that allows them to stay self-sufficient for as long as possible. Method: To reach this goal, the Building Realization and Robotics Lab is researching in the field of ambient assisted living. The idea is to implement robots and sensors in the home environment so as to efficiently support the inhabitants in their ADLs and eventually increase their independence. Through embedding vital sensors into furniture and using ICT technologies, the health status of elderly people can be remotely evaluated by a physician or family members. By investigating ergonomic aspects specific to elderly people (e.g. via an age-simulation suit), it is possible to develop and test new concepts and novel applications, which will offer innovative solutions. Via the introduction of mechatronics and robotics, the home environment can be made able to seamlessly interact with the inhabitant through gestures, vocal commands, and visual recognition algorithms. Meanwhile, several solutions have been developed that address how to build a smart home environment in order to create an ambient assisted environment. This article describes how these concepts were developed. The approach for each concept, proposed in this article, was performed as follows: (1) research of needs, (2) creating definitions of requirements, (3) identification of necessary technology and processes, (4) building initial concepts, (5) experiments in a real environment, and (6) development of the final concepts. To keep these concepts cost-effective, the suggested solutions are modular. Therefore, it will be possible to straightforwardly install the proposed devices in an existing home environment in a ‘plug and play' manner once the terminals can be prefabricated off-site. Results and Discussion: This article shows a variety of concepts that have been developed to support elderly people in their ADLs. The prototypes of the proposed concepts in this paper have been tested with elderly people. The results of the tests show that robots embedded in furniture, walls, ceiling, etc. offer enhanced support, properly addressing elderly as well as disabled people to individually and independently manage their ADLs. In order to make the concepts realizable in terms of cost, it will be necessary to standardize and modularize these concepts for industrial fabrication.
Mycotoxin Exposure and Infant and Young Child Growth in Africa: What Do We Know?
Authors: Lombard Martani J.
Published: October 2014

Introduction: Infant and young child (IYC) growth impairment remains a public health problem in Africa partly because infants are exposed to staple foods (contaminated with mycotoxins) at an early age. Understanding the role of mycotoxins in IYC growth is vital, and this paper systematically reviews the available knowledge. Methods: Studies were searched and included if they provided information on African IYC mycotoxin exposure rates and/or growth. Studies were excluded if subjects were older than 15 years, if they were animal studies or focusing on other mycotoxins. Relevant search words were included in search strings. Eight reviews were identified and reference lists scrutinised for additional studies. Results: Ten studies were included; 8 focused on aflatoxin (AF), 2 on fumonisin (FB) and none on deoxynivalenol (DON) and zearalenone (ZEA). AF exposure prevalence reached 100% with levels at 40.4 pg/mg. AF was present in umbilical cords indicating that AF crosses the placenta. Maternal exposure levels were correlated with breast milk levels. The highest levels of serum AF (mean 32.8 pg/mg) were measured in Benin and Togo with 5.4% reaching levels higher than 200 pg/mg. At the end of weaning, children had similar prevalence and exposure levels as adults. Results also indicated that infants with higher levels of maternal exposure had significantly lower height-for-age z-scores (HAZ scores), although there was no significant association between cord AF and infant HAZ scores or AF in cord blood and HAZ scores. Significantly higher mean maternal AF levels related to lower weight-for-age z-scores (WAZ scores) were reported, and infants with higher levels of maternal exposure had significantly lower WAZ scores that decreased over age. Cord AF levels had no effect on infant WAZ scores. One study investigated the association between FB and IYC growth and found that those with FB intakes greater than the provisional maximum tolerable daily intake were significantly shorter (1.3 cm) and lighter (328 g). No studies investigated the role of DON and ZEA. Conclusion: A limited number of epidemiological studies have been conducted, and available research indicates extreme exposures to AF. There are strong associations between AF exposure and stunting and wasting. However, more epidemiological research is urgently needed to understand the role of FB, DON and ZEA in IYC growth.
Mutation and Clinical Characteristics of Autosomal-Dominant Hereditary Spastic Paraplegias in China
Authors: Luo Yingying , Chen Chong , Zhan Zixiong , Wang Yinguang , Du Juan , Hu Zhaoting , Liao Xinxin , Zhao Guohua , Wang Junling , Yan Xinxiang , Jiang Hong , Pan Qian , Xia Kun , Tang Beisha , Shen Lu
Published: October 2014

Background: Hereditary spastic paraplegias constitute a heterogeneous group of inherited neurodegenerative disorders. To date, there has been no systematic mutation and clinical analysis for a large group of autosomal-dominant hereditary spastic paraplegias in China. Objective: The purpose of this study was to investigate the mutation frequencies and the clinical phenotypes of Chinese spastic paraplegia patients. Methods: Direct sequencing and a multiplex ligation-dependent probe amplification assay were applied to detect the mutations of SPAST and ATL1 in 54 autosomal-dominant hereditary spastic paraplegia probands and 66 isolated cases. Next, mutations in NIPA1, KIF5A, REEP1 and SLC33A1 were detected in the negative patients. Subsets of spastic paraplegia patients were genotyped for the modifying variants. Further, detailed clinical data regarding the genetically diagnosed families were analysed. Results: Altogether, 27 families were diagnosed as SPG4, 3 as SPG3A and 1 as SPG6. No mutations in KIF5A, REEP1 or SLC33A1 were found; 9 SPAST mutations were novel. There was no p.S44L or p.P45Q variant in SPAST and no p.G563A variant in HSPD1 in either the 120 spastic paraplegia patients or the 500 controls. There was a remarkable clinical difference between the SPG4 and non-SPG4 patients and even between genders among the SPG4 patients. Non-penetrance and remarkable gender difference were observed in some SPG4 and SPG3A families. Conclusions: Our data confirm that hereditary spastic paraplegias in China represent a heterogeneous group of genetic neurodegenerative disorders in autosomal-dominant and apparently sporadic forms. Novel genotype-phenotype correlations were established.
A Systematic Review and Meta-Analysis Examining Pneumonia-Associated Mortality in Dementia
Authors: Foley Norine C. , Affoo Rebecca H. , Martin Ruth E.
Published: October 2014

Background: Although it is generally accepted that deaths associated with pneumonia are more common in patients with dementia, no comprehensive reviews on the subject have previously been published. Summary: Relevant studies were identified through a literature search of the PubMed, EMBASE, Scopus, and ISI Web of Science databases for publications up to August 2013. Studies were included if (1) a group of adult subjects with dementia and a (comparison) group composed of subjects without dementia were included, (2) the cause(s) of death was/were reported, and (3) pneumonia was identified as one of the possible causes of death. The occurrence of death due to pneumonia associated with dementia was expressed as an odds ratio (OR) with 95% confidence interval (CI). Thirteen studies were included. The odds of death resulting from pneumonia were significantly increased for persons with any form of dementia compared with those without dementia (OR = 2.22, 95% CI 1.44-3.42, p < 0.001). In a subgroup analysis, using the results from 8 studies that restricted inclusion to persons with Alzheimer's disease, the odds of death resulting from pneumonia were also significantly higher (OR = 1.70, 95% CI 1.12-2.58, p = 0.013). Key Messages: The odds of pneumonia-associated mortality were increased more than 2-fold for patients with dementia. © 2014 S. Karger AG, Basel
Dystroglycan in Human Fetal Membranes Decreases in Later Gestation and with Spontaneous Membrane Rupture
Authors: Theiler Regan N. , Snyder Russell R. , Theiler Shaleen K.
Published: October 2014

Background/Aims: The transmembrane protein dystroglycan (DG) is known to anchor the cell membrane to the extracellular matrix, and is susceptible to cleavage by matrix metalloproteinases. This study tested the hypothesis that changes in DG abundance in fetal membranes (FM) occur late in gestation, with spontaneous rupture of membranes (SROM), and during labor. Methods: FM were collected from a prospective cohort consisting of four groups of patients (term labor, term unlabored, preterm labor, and preterm unlabored). FM were subjected to immunohistochemical staining using antibodies specific for α- and β-DG subunits, and staining intensity was graded by a blinded pathologist. Results: α- and β-DG staining was significantly decreased at term and after SROM (p < 0.05), but not in the presence of labor. Conclusions: Decreased DG intensity was seen in FM of patients at term and with SROM, but no change was observed with labor.
Management of Macular Edema Secondary to Branch Retinal Vein Occlusion in an Eye with Prior Vitrectomy and Lensectomy
Authors: Malhotra Pankaj , Kishore Kamal
Published: October 2014

An 82-year-old male with a history of pars plana vitrectomy and lensectomy 6 years before presented with symptomatic macular edema (ME) from superotemporal branch retinal vein occlusion. He was sequentially treated with intravitreal agents, bevacizumab (IVB) 1.25 mg, ranibizumab (RBZ) 0.5, 1.0 and 2 mg, triamcinolone acetonide (IVTA) 1 mg, and aflibercept (IAI) 2 mg. The therapeutic benefit from IVB and RBZ was short-lived - although a decrease in ME and improvement in visual acuity were observed, a completely dry macula was not achieved even after 1 week of treatment with any dose of these agents, including 2.0 mg RBZ. IVTA achieved a dry macula for 7 weeks. IAI yielded a dry macula and improved vision with monthly injections. However, regression of the therapeutic benefit was noted at 5 weeks after the IAI injection. A stronger affinity of IAI to vascular endothelial growth factor (VEGF) compared to other anti-VEGF agents is likely responsible for the observed therapeutic effect for 1 month, making this agent preferable for the management of symptomatic ME in a vitrectomized eye.
Trends in Aortic Dissection Hospitalizations, Interventions, and Outcomes Among Medicare Beneficiaries in the United States, 2000–2011
Authors: Mody Purav S. , Wang Yun , Geirsson Arnar , Kim Nancy , Desai Mayur M. , Gupta Aakriti , Dodson John A. , Krumholz Harlan M.
Published: October 2014

Background—

The epidemiology of aortic dissection (AD) has not been well described among older persons in the United States. It is not known whether advancements in AD care over the last decade have been accompanied by changes in outcomes.

Methods and Results—

The Inpatient Medicare data from 2000 to 2011 were used to determine trends in hospitalization rates for AD. Mortality rates were ascertained through corresponding vital status files. A total of 32 057 initial AD hospitalizations were identified. The overall hospitalization rate for AD remained unchanged at 10 per 100 000 person-years. For 30-day and 1-year mortality associated with AD, the observed rate decreased from 31.8% to 25.4% (difference, 6.4%; 95% confidence interval [CI], 6.2–6.5; adjusted, 6.4%; 95% CI, 5.7–6.9) and from 42.6% to 37.4% (difference, 5.2%; 95% CI, 5.1–5.2; adjusted, 6.2%; 95% CI, 5.3–6.7), respectively. For patients undergoing surgical repair for type A dissections, the observed 30-day mortality decreased from 30.7% to 21.4% (difference, 9.3%; 95% CI, 8.3–10.2; adjusted, 7.3%; 95% CI, 5.8–7.8) and the observed 1-year mortality decreased from 39.9% to 31.6% (difference, 8.3%; 95% CI, 7.5–9.1%; adjusted, 8.2%; 95% CI, 6.7–9.1). The 30-day mortality decreased from 24.9% to 21% (difference, 3.9%; 95% CI, 3.5–4.2; adjusted, 2.9%; 95% CI, 0.7–4.4) and 1-year decreased from 36.4% to 32.5% (difference, 3.9%; 95% CI, 3.3–4.3; adjusted, 3.9%; 95% CI, 2.5–6.3) for surgical repair of type B dissection.

Conclusions—

Although AD hospitalization rates remained stable, improvement in mortality was noted, particularly in patients undergoing surgical repair.
Restoration of Impaired Endothelial Myocyte Enhancer Factor 2 Function Rescues Pulmonary Arterial Hypertension
Authors: Kim Jongmin , Hwangbo Cheol , Hu Xiaoyue , Kang Yujung , Papangeli Irinna , Mehrotra Devi , Park Hyekyung , Ju Hyekyung , McLean Danielle L. , Comhair Suzy A. , Erzurum Serpil C. , Chun Hyung J.
Published: October 2014

Background—

Pulmonary arterial hypertension (PAH) is a progressive disease of the pulmonary arterioles, characterized by increased pulmonary arterial pressure and right ventricular failure. The cause of PAH is complex, but aberrant proliferation of the pulmonary artery endothelial cells (PAECs) and pulmonary artery smooth muscle cells is thought to play an important role in its pathogenesis. Understanding the mechanisms of transcriptional gene regulation involved in pulmonary vascular homeostasis can provide key insights into potential therapeutic strategies.

Methods and Results—

We demonstrate that the activity of the transcription factor myocyte enhancer factor 2 (MEF2) is significantly impaired in the PAECs derived from subjects with PAH. We identified MEF2 as the key cis-acting factor that regulates expression of a number of transcriptional targets involved in pulmonary vascular homeostasis, including microRNAs 424 and 503, connexins 37, and 40, and Krűppel Like Factors 2 and 4, which were found to be significantly decreased in PAH PAECs. The impaired MEF2 activity in PAH PAECs was mediated by excess nuclear accumulation of 2 class IIa histone deacetylases (HDACs) that inhibit its function, namely HDAC4 and HDAC5. Selective, pharmacological inhibition of class IIa HDACs led to restoration of MEF2 activity in PAECs, as demonstrated by increased expression of its transcriptional targets, decreased cell migration and proliferation, and rescue of experimental pulmonary hypertension models.

Conclusions—

Our results demonstrate that strategies to augment MEF2 activity hold potential therapeutic value in PAH. Moreover, we identify selective HDAC IIa inhibition as a viable alternative approach to avoid the potential adverse effects of broad spectrum HDAC inhibition in PAH.
Consciousness Level and Off‐Hour Admission Affect Discharge Outcome of Acute Stroke Patients: A J‐ASPECT Study
Authors: Kamitani Satoru , Nishimura Kunihiro , Nakamura Fumiaki , Kada Akiko , Nakagawara Jyoji , Toyoda Kazunori , Ogasawara Kuniaki , Ono Junichi , Shiokawa Yoshiaki , Aruga Toru , Miyachi Shigeru , Nagata Izumi , Matsuda Shinya , Miyamoto Yoshihiro , Iwata Michiaki , Suzuki Akifumi , Ishikawa Koichi B. , Kataoka Hiroharu , Morita Kenichi , Kobayashi Yasuki , Iihara Koji
Published: October 2014

Background

Poor outcomes have been reported for stroke patients admitted outside of regular working hours. However, few studies have adjusted for case severity. In this nationwide assessment, we examined relationships between hospital admission time and disabilities at discharge while considering case severity.

Methods and Results

We analyzed 35 685 acute stroke patients admitted to 262 hospitals between April 2010 and May 2011 for ischemic stroke (IS), intracerebral hemorrhage (ICH), or subarachnoid hemorrhage (SAH). The proportion of disabilities/death at discharge as measured by the modified Rankin Scale (
mRS
) was quantified. We constructed 2 hierarchical logistic regression models to estimate the effect of admission time, one adjusted for age, sex, comorbidities, and number of beds; and the second adjusted for the effect of consciousness levels and the above variables at admission. The percentage of severe disabilities/death at discharge increased for patients admitted outside of regular hours (22.8%, 27.2%, and 28.2% for working‐hour, off‐hour, and nighttime;
P
<0.001). These tendencies were significant in the bivariate and multivariable models without adjusting for consciousness level. However, the effects of off‐hour or nighttime admissions were negated when adjusted for consciousness levels at admission (adjusted OR, 1.00 and 0.99; 95% CI, 1.00 to 1.13 and 0.89 to 1.10;
P
=0.067 and 0.851 for off‐hour and nighttime, respectively, versus working‐hour). The same trend was observed when each stroke subtype was stratified.

Conclusions

The well‐known off‐hour effect might be attributed to the severely ill patient population. Thus, sustained stroke care that is sufficient to treat severely ill patients during off‐hours is important.
Enabling comparisons of characters using an Xper2 based knowledge-base of fern morphology
Authors: Corvez Adèle , Grand Anaïs
Published: October 2014

Ferns comprise both extant and fossil taxa displaying a broad morphological and anatomical disparity. In order to compare their features, we propose a knowledge base of 46 genera, 101 characters and 273 character states with illustrations, bibliographical references and annotations with terms from the Plant Ontology Consortium (amongst others). The knowledge base is designed with the Xper² program. Descriptions are exhaustive (i.e., all the taxa have been given values for every character) thanks to the management of inapplicable and missing data. The Xper² format is compatible with the standard interchange format Structured Descriptive Data (SDD). The user-friendly and intuitive environment provided by Xper2 should help users to take ownership of our conceptualization.