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The first high-quality chromosomal genome assembly of a medicinal and edible plant Ar...
Liang Xu
Shengnan Li

Liang Xu

and 14 more

May 04, 2021
Arctium lappa has a long medicinal and edible history with great economic importance. We combined Illumina and PacBio sequences to generate the first high-quality chromosome-level draft genome of A. lappa. The assembled genome is approximately 1.79 Gb with a N50 contig size of 6.88 Mb. Approximately 1.70 Gb (95.4%) of the contig sequences were anchored onto 18 chromosomes using Hi-C data; the scaffold N50 was improved to be 91.64 Mb. Furthermore, we obtained 1.12 Gb (68.46%) of repetitive sequences and 32,771 protein-coding genes; 616 positively selected candidate genes were identified. Additionally, we compared the transcriptomes of A. lappa roots at three different developmental stages and identified 8,943 differentially expressed genes (DEGs) in these tissues. Among candidate genes related to lignan biosynthesis, the following were found to be highly correlated with the accumulation of arctiin: 4-coumarate-CoA ligase (4CL), dirigent protein (DIR), and hydroxycinnamoyl transferase (HCT). These data can be utilized to identify genes related to A. lappa quality or provide a basis for molecular identification and comparative genomics among related species.
Household use of biomass fuel, especially traditional stove is associated with childh...
Olivia Lall
Gayan  Bowatte

Olivia Lall

and 9 more

May 04, 2021
Background: The majority of households in low- and middle-income countries (LMICs) rely on biomass fuel for daily cooking. Studies investigating the association between early life exposure to household air pollution and health outcomes in children in LMICs have been limited. This study aimed to investigate the effects of use of biomass fuel for cooking and different types of stoves on wheeze and allergies in children of rural Sri Lankan communities. Methods: A cross-sectional study was conducted on 452 children aged 5 years and younger in Kandy, Sri Lanka. A questionnaire was administered to mothers to gather information about use of biomass fuel and respiratory and allergic outcomes in children. The associations between biomass fuel and outcomes were analysed using logistic regression models adjusting for potential confounders. Results: Use of biomass fuel for cooking was associated with increased risk of childhood wheeze (aOR=2.38; 95% CI 1.08-5.27) and eczema (aOR=4.49; 95% CI 1.40-14.38) compared with households that used clean fuel (liquid petroleum gas (LPG), electricity and/or biogas). Among households that used biomass fuel, use of traditional biomass stoves was associated with higher risk of childhood wheeze (aOR=3.24; 95% CI 1.28-8.20), allergic rhinitis (aOR=3.08; 95% CI 1.34-7.04) and eczema (aOR=7.96; 95% CI 2.35-26.93) compared with households that used clean stoves. Conclusion: Children living in households that used biomass fuel, especially traditional biomass cookstoves, were at higher risk of wheeze and allergic outcomes. Access to affordable clean energy sources may help to improve health of rural LMICs through reduction of air pollution.
Relationship of E-cadherin, Beta-catenin, N-cadherin, ZEB1 and αSMA as Epithelial Mes...
ULKU KUCUK
Sumeyye EKMEKCI

ULKU KUCUK

and 4 more

May 04, 2021
Objective: To investigate the relationship between E-cadherin, Beta-catenin, N-cadherin, ZEB1 and αSMA as eithelial mesenchymal transformation markers with tumor stage, lymph node metastasis (LNM) and overall survival (OS) in laryngeal squamous cell carcinomas (LSCC). Material and method: A total of 100 cases diagnosed with LSCC in our hospital between 2013-2020 were included in the study. Data about lymphovascular invasion (LVI), perineural invasion (PNI), necrosis and LNM were recorded by evaluating hematoxylin- eosin stained slides. Markers of E-cadherin, beta-catenin, N-cadherin, ZEB1 and αSMA were applied to the sections prepared from paraffin blocks of tumor samples. Results: Ninety-five male and five female patients were included in the study, and 38 of them exited. The average OS time of the cases was 35.8 months. A significant relationship was observed between OS with advanced tumor stage, presence of LNM and PNI. A significant relationship was found between increased tumor Zeb1 expression and advanced tumor stage. In univariate and multivariate analyses, a significant negative relationship with OS, and increased Zeb1 expression in tumor and tumor stroma was seen. Any relationship was not observed between E-cadherin, beta-catenin, N-cadherin and αSMA and OS. , Conclusion Among the EMT markers we evaluated in our study, it was seen that Zeb1, which is an EMT transcription factor, is associated with tumor stage, LNM, and OS. Remarkably, Zeb1 expression observed in tumor stroma was also significant for OS. Any similar data reported for LSCCs have not been encountered in the literature, and it was thought that it would be appropriate to support our findings with further studies to be performed on this subject.
Asymptotic Behavior of the coupled Klein-Gordon-Schrödinger systems on compact manifo...
César Augusto  Bortot
Thales Maier Souza

César Augusto Bortot

and 2 more

May 04, 2021
This paper is concerned with a 2-dimensional Klein-Gordon-Schrödinger system subject to two types of locally distributed damping on a compact Riemannian manifold $\mathcal{M}$ without boundary. Making use of unique continuation property, the observability inequalities, and the smoothing effect due to Aloui, we obtain exponential stability results.
Global existence and asymptotic behaviour of solutions for a hyperbolic-parabolic mod...
Yafeng Li
Chunlai Mu

Yafeng Li

and 2 more

May 04, 2021
In this paper, we discuss a hyperbolic-parabolic system modeling biological phenomena evolving on a network. The global existence of the is obtained by using energy estimates with suitable the transmission conditions at interior. Moreover, for the case of acyclic network, the existence and uniqueness of stationary solution to the system is proposed and it is proved that these ones are asymptotic profiles for a class of global solutions
The triose phosphate utilization limitation of photosynthetic rate: out of global mod...
Luke Gregory
Alan McClain

Luke Gregory

and 8 more

May 04, 2021
OpinionPlant Cell & EnvironmentThe triose phosphate utilization limitation of photosynthetic rate: out of global models but important for leaf modelsLuke M. Gregory1,2, Alan M. McClain1,3,4, David M. Kramer1,3, Jeremy D. Pardo2,4, Kaila E. Smith1,2,4, Oliver L. Tessmer1, Berkley J.Walker1,2, Leonardo G. Ziccardi5, Thomas D. Sharkey1,31MSU-DOE Plant research Laboratory, Michigan State University, East Lansing, MI 48824 US A2 Department of Plant Biology, Michigan State University, East Lansing, MI 48824 USA3 Department of Biochemistry and Molecular Biology, Michigan State University, East Lansing, MI 48824 USA4 Plant Biotechnology for Health and Sustainability Program, Michigan State University, East Lansing, MI 48824 USA5 Department of Forestry, Michigan State University, East Lansing, MI 48824 USAXiao et al. (2021) present a method for estimating the variability of estimated parameters of the Farquhar, von Caemmerer, Berry (FvCB) model of photosynthesis (Farquhar et al., 1980). This model has been very effective at predicting photosynthetic responses to CO2, light, and temperature. The original model assumed one of two conditions: (1) rubisco is saturated with ribulose 1,5-bisphosphate (RuBP) and so responds to CO2 with Michalis Menten kinetics (with a competitive inhibitor/ second substrate oxygen) (rubisco-limited) or (2) rubisco uses RuBP as fast as it is made (RuBP regeneration-limted). In that case, rubisco activity is determined by the rate of RuBP regeneration, typically as a result of being light-limited. But even though photosynthetic CO2assimilation (A ) is light limited, it responds to increasing CO2 because of suppression of photorespiration. Carboxylation plus oxygenation stays constant under RuBP regeneration limited conditions so if oxygenation goes down as CO2increases, carboxylation will go up. The model was expanded to include a third condition, where RuBP regeneration is limited by how fast phosphorylated intermediates, primarily triose phosphates, are converted to end products, thereby releasing phosphate (Sharkey, 1985). This is usually called “triose phosphate utilization (TPU ) limitation.” Xiao et al. (2021) limited their analysis to rubisco-limited and RuBP-regeneration-limited fittings and said that TPU could also be included. We have tested how inclusion of TPU affects parameterization of the FvCB model.The model is most often parameterized by measuring CO2assimilation as a function of CO2 inside the air spaces of the leaf (Ci ), called anA /Ci curve. Rubisco-limited data points show a strong response to CO2 while RuBP-regeneration-limited points show less response but still increase with increasing CO2. TPU-limited points are characterized by no response to CO2 and sometimes an inhibition under increasing CO2. The condition is further diagnosed by a decline in photosynthetic electron transport caused by an increase in CO2 or decrease in O2 (measured by chlorophyll fluorescence analysis). The TPU limitation is rarely seen at physiological CO2partial pressure and temperature but is very frequently seen when CO2 is marginally higher than what the plant experienced during growth, especially if the temperature during the measurement is marginally lower than the growth temperature. TPU conditions are also associated with oscillations in photosynthetic rate (Sharkey et al., 1986), complicating measurements of TPU -limited photosynthesis rates.The parameters that can be estimated by the fitting models are the maximum rate of rubisco turnover (Vcmax ) and the rate of electron transport (J ) (since the analysis can be done at limiting light, this need not be Jmax ). Also estimated are respiration in the light (previously called day respiration) (RL ) and mesophyll conductance (gm ). If TPU is considered, this rate of triose phosphate use (TPU ). We have used equations proposed by Busch et al. (2018) to include carbon flow out of photorespiration as glycine (αG ) or serine (αS ).Some groups have concluded that TPU limitations are likely to be small and thus constitute an unnecessary complication for modeling photosynthesis at global scales (Kumarathunge et al., 2019; Rogers et al., 2021), and Xiao et al. (2021) also left TPU out of their recent analysis describing Bayesian methods for estimating parameters of the FvCB model and the uncertainties in those estimates. Given the obervations of declining A and photosynthetic electron transport in their data we believe ignoring TPU can lead to errors. We have systematically explored the consequences of including or ignoringTPU when parameterizing the FvCB model when TPU is apparent in the data.We began by re-analyzing the experimental data provided by Xiao et al. (2021). Four A /Ci curves measured with rice were provided. In three out of four cases, reverse sensitivity to CO2 of A was observed and in all four cases, photochemical yield (measured by chlorophyll fluorescence analysis) declined at high CO2. These behaviors indicate thatTPU was occurring. The authors specified in their methods section that they had to wait much longer for stability at the high CO2 concentrations and the data at high CO2 was noisy, also an indicator of TPU. We tested the effect of adding TPU to the analysis.We converted the most recent version (2.9) of the fitting spreadsheet that has been provided by Plant Cell and Environment (Sharkey, 2016) to an R script with a user-friendly interface (Shiny app), see  https://github.com/poales/msuRACiFit.The script iteratively fits data sets to biochemical models using rubisco-limited, RuBP-regeneration-limited, or TPU -limited assumptions, then calculates which process is likely to be rate-limiting for each data point, thus eliminating the need to assign specific limiting process to each of the data points.We then fitted the data supplied by Xiao et al. (2021), first withoutTPU and then with TPU (Figure 1). For all four curves supplied (only repetitions 2 and 3 are shown in Figure 1), includingTPU in the fitting improved the fit to the data at high CO2 and this was reflected in a reduction in the sum of the squared residuals (SSR) (data for repetitions 2 and 3 are given in Table 1). The reduction in SSRs was much greater than the increase in degrees of freedom introduced by including TPU as a fitting parameter.When data points are treated as J -limited but are actually limited by another process such as TPU , then J is likely to be underestimated. The estimate of J was higher whenTPU was included in the analysis (Table 1). Our fitting program could not estimate gm when TPU -limited points were treated as being J -limited and hit the limit imposed during fitting of 100 µmol m-2 s-1Pa-1. Because J -limited measurements hold the most information on mesophyll conductance, the estimate of mesophyll conductance is affected by fitting without TPU . When TPU is included it becomes clear how few data points are J -limited and since J -limited points have the most information aboutgm it becomes clear why gmcan be difficult to measure when A /Cicurves are measured at satuating light. Using high but not saturating light can increase the amount of J -limited data when estimatinggm (Sharkey, 2019)(see box 1).Three of the four A /Ci curves had noticeable discontinuity in the middle of the curves. We reasoned this was caused by the method used to make the measurements. It is common for researchers to report A /Ci curves assessed by measuring at 400 ppm CO2 and then measuring at a series of declining CO2 concentrations followed by a jump back to 400 ppm and measuring at a series of increasing CO2 concentrations. We call this the split method and it requires that photosynthesis be identical before and after measuring photosynthesis at ambient CO2, a requirement that often does not hold in our experience.We examined the effect of the sequence of CO2concentrations measured during an A /Cicurve and conclude that these measurements should be made by monotonic increasing (or decreasing) CO2 as opposed to starting at an ambient CO2 concentration and going down in CO2, jumping back to the middle and going up in CO2 (we call this the split method).We tested split versus monotonic methods with tobacco (Fig. 1 E and F). The curves did not show an obvious discontinuity but the SSR was higher for data generated by a split A /Ci curve than monotonic curve (Table 1) (These SSRs are comparable because the models used were the same and so the degrees of freedom did not differ.) Even when the curves do not show an obvious discontinuity in the middle when measured by the split method, results from “split” experiments tend to show stronger deviations from continuous fits to models, suggesting that hysteresis can strongly impact the interpretation. Moreover, the discontinuity comes at the section of the curve that has most information on mesophyll conductance and so significantly reduces confidence in mesophyll conductance values of such split curves.We conclude that 1. it is important to include TPU when fittingA /Ci curves that show evidence for it; 2.A /Ci curves should be carried out monotonically. 3. Additional data may be needed depending on how the fittings are to be used, for example it may be necessary to measure curves at saturating and also substaurating light to get robust measures of all parameters. Because of the danger of over fitting, when possible, parameters should be fixed. For example, if there are independent measures of mesophyll conductance or light respiration, these can be supplied and then fixed during fitting. It must be accepted that some parameters can change within minutes and this biological source of variance should be considered. Very rapid, monotonicA/Ci curves are likely to be very helpful in assessing the physiology of photosynthesis just as a high speed shutter on a camera helps bring things into focus, especially when the subject is dynamic.Reporting the parameters of the FvCB model can be helpful for global modeling, for detecting effects of the environment on photosynthesis, and changes in specific components of photosynthetic capacity. For large datasets fitting batches of curves using programs like R can be very helpful. What is presented expands on part of an earlier R Package (Duursma, 2015) but now includes TPU. The Shiny app allows users to test specific hypotheses and can be a convenient way to explore how changing conditions such as temperature and light affect predicted rates of photosynthesis.Please see  https://github.com/poales/msuRACiFitfor how to access and use the R-script and Shiny app used for this work.Funders: Division of Chemical Sciences, Geosciences and Biosciences, Office of Basic Energy Sciences of the United States Department of Energy (Grant DE-FG02-91ER20021).
Coordination of stomata and vein patterns with leaf width underpins water use efficie...
Ling Pan
Barbara George-Jaeggli

Ling Pan

and 7 more

May 04, 2021
Despite its importance for crop productivity in drought-affected environments, the underlying mechanisms of variation in intrinsic water use efficiency (iWUE) are not well understood, especially in C4 plants. Recently, Cano et al. (2019) discovered that leaf width (LW) correlated negatively with iWUE and positively with stomatal conductance for water vapour (gsw) across several C4 grasses. Here, we analysed these relationships within 48 field-grown genotypes that cover a broad range of variation in LW in Sorghum bicolor, a well-adapted C4 crop to xeric and hot conditions, by measuring and modelling leaf gas exchange and leaf energy balance three times a day, using anatomical traits as potential drivers for iWUE. LW correlated negatively with iWUE and stomatal density, but positively with gsw, interveinal distance of longitudinal veins (IVDL) and the percentage of stomatal aperture relative to maximum. Energy balance modelling showed that wider leaves opened the stomata more to generate a more negative leaf-to-air temperature difference especially at midday, when air temperatures exceeded 40ºC. These results highlight the important role that LW plays in shaping iWUE through modification of vein and stomatal traits and by regulating stomatal aperture. Therefore, LW could be used as a predictor for higher iWUE among sorghum genotypes.
D-dimer level has higher correlation with pulmonary embolism diagnosis than a clinica...
Joseph Lee
Ramin Alipour

Joseph Lee

and 4 more

May 03, 2021
Aim This study aimed to compare the predictive value of D-dimer and a clinical prediction score in diagnosis of pulmonary embolism (PE) as this could improve practice and reduce costs simultaneously. Method To achieve this, medical records of patients who presented to the Emergency Department of a large Australian metropolitan general hospital over 12 months and underwent DD testing were reviewed. The correlation coefficient (CC) was calculated using the Cramer’s V method. Results CC between low-, intermediate- and high-risk groups on their own and a final diagnosis of PE on imaging was 0.1332, 0.1278 and 0.0817, respectively. By contrast, the CC when using positive DD was higher for all categories: 0.7527, 0.6256 and 0.4195, respectively. For the age-adjusted DD, the correlations were higher than for the clinical prediction score but less than for the absolute DD; calculated at 0.6490, 0.4987 and 0.3550 for the respective groups. The overall CC for risk category was 0.1107; for a positive DD, it was 0.7033; for the age-adjusted DD, it was 0.5928. Conclusion Positive DD has a higher correlation with PE diagnosis than the clinical prediction score. DD assay, whether positive or negative, is therefore an invaluable test in assessment of patients with suspected PE and can help determine the need for tomographic imaging. The absolute DD is more useful than the age-adjusted value.
Efficiency of Femoral Nerve Block for Recovery after Primary Total Knee Arthroplasty
Zeki Tuncel Tekgül
Mehmet Ugur Bilgin

Zeki Tuncel TEKGUL

and 2 more

May 03, 2021
Purpose The aim of our study is to evaluate the efficiency of femoral nerve block on recovery after primary total knee arthroplasty. Our primary goal is to provide adequate analgesia with a lower concentration of bupivacaine (0.125%) as well as the usual concentration (0.25%). Comparing the degree of motor block, side effects, postoperative pain scores, opioid consumption, and ambulation and discharge times are our secondary goals. Methods The study was conducted as randomized, controlled and double blind. Sixty three patients were randomised into three groups: G125(n:21) received FNB with 20ml of 0,125% bupivacaine, G25(n:21) received 10ml of 0,25% bupivacaine and GCont(n:21) received no block. FNB was applied with ultrasound guidance after the operation. Pain scores(NRS) at certain time intervals, total opioid consumption, motor block, knee flexion and discharge times were recorded. Results For GCont, pain scores were significantly higher at 2nd, 6th, 12th and 24th hour postoperatively, total opioid consumption was higher(G125:75mg, G25:0mg, GCont:280mg) and first opioid demand time was earlier(G125:12th hour, G25:21st hour GCont:2nd hour). First knee flexion time and mobilization time were also delayed for GCont. G25 had lower scores for quadriceps muscle strength(G25:3/5, G125:4/5, GCont:5/5, Manual Test at 6th Hour), but this did not affect mobilization compared to G125. Conclusion G125 had lower quadriceps muscle strength loss compared to the G25 and earlier mobilization and flexion times, low opioid consumption and low pain scores compared to the control group. In this respect, we believe the femoral nerve block with 0,125% bupivacaine proves to be a suitable option for analgesia with the potential of maintaining enough movement for recovery after TKA.
Accessory maxillary sinus ostia in superior meatus: a retrospective study and its cli...
Hsiao-Wei Lu
Pin-Zhir Chao

Hsiao-Wei Lu

and 4 more

May 03, 2021
Objectives: To investigate the incidence of accessory maxillary sinus ostia in superior meatus in patients with clinical and radiological signs of maxillary sinusitis and the association with the development of chronic rhinosinusitis. Design: Retrospective study Setting: Tertiary care hospital Participant: 159 patients examined with paranasal sinus computed tomography scans Main outcome measures: We retrospectively evaluated patients who visited the outpatient department at an academic medical facility between January and April 2020 with a clinical diagnosis of chronic rhinosinusitis. Paranasal sinus axial and coronal computed tomography scans were evaluated for accessory maxillary sinus ostia in superior meatus and confirmed by reconstructed three-dimensional simulation images. The demographic information and incidence of accessory ostia in superior meatus were assessed. The Lund–Mackay score was used to rate chronic rhinosinusitis severity. Analysis of variance was performed to correlate the severity of chronic rhinosinusitis with presenting accessory ostia in superior meatus. Results: Of 159 patients (81 males; 78 females), 41.5% had accessory maxillary sinus ostia in superior meatus. Of these, two-thirds were bilateral and one-third was unilateral. The severity of rhinosinusitis was not correlated with having accessory maxillary sinus ostia in superior meatus, but the presence of accessory ostia was significantly associated with less severe chronic rhinosinusitis (P < 0.001). Conclusions: Accessory maxillary sinus ostia in superior meatus are significantly associated with less severe chronic rhinosinusitis and most cases are bilateral.
Association between Lung Ultrasound B-lines and Exercise-Induced Pulmonary Hypertensi...
Kazuki  Kagami
Tomonari  Harada

Kazuki Kagami

and 11 more

May 03, 2021
Background: Identification of elevation in pulmonary pressures during exercise may provide prognostic and therapeutic implications in patients with connective tissue disease (CTD). Interstitial lung disease (ILD) is common in CTD patients and subtle interstitial abnormalities detected by lung ultrasound could predict exercise-induced pulmonary hypertension (PH). Methods and Results: Echocardiography and lung ultrasound were performed at rest and bicycle exercise in CTD patients (n=41) and control subjects without CTD (n=24). Ultrasound B-lines were quantified by scanning four intercostal spaces in the right hemithorax. We examined the association between total B-lines at rest and the development of exercise-induced PH during ergometry exercise. Compared to controls, the number of total B-lines at rest was higher in CTD patients (0 [0, 0] vs. 2 [0, 9], p<0.0001) and was correlated with radiological severity of ILD assessed by computed tomography (fibrosis score, r=0.70, p<0.0001). Pulmonary artery systolic pressure (PASP) was increased with ergometry exercise in CTD compared to controls (48±14 vs. 35±13 mmHg, p=0.0006). The number of total B-lines at rest was highly correlated with higher PASP (r=0.52, p<0.0001) and poor right ventricular pulmonary artery coupling (tricuspid annular plane systolic excursion/PASP ratio, r=-0.31, p=0.01) during peak exercise. The number of resting B-lines predicted the development of exercise-induced PH with an area under the curve 0.79 (p=0.0003). Conclusions: These data may suggest the value of a simple resting assessment of lung ultrasound as a potential tool for assessing the risk of exercise-induced PH in CTD patients.
Modeling of protein complexes in CASP14 with emphasis on the interaction interface pr...
Justas Dapkūnas
Kliment Olechnovič

Justas Dapkunas

and 2 more

May 03, 2021
The goal of CASP experiments is to monitor the progress in the protein structure prediction field. During the 14th CASP edition we aimed to test our capabilities of predicting structures of protein complexes. Our protocol for modeling protein assemblies included both template-based modeling and free docking. Structural templates were identified using sensitive sequence-based searches. If sequence-based searches failed, we performed structure-based template searches using selected CASP server models. In the absence of reliable templates we applied free docking starting from monomers generated by CASP servers. We evaluated and ranked models of protein complexes using an improved version of protein structure quality assessment method, VoroMQA, taking into account both interaction interface and global structure scores. If reliable templates could be identified, generally accurate models of protein assemblies were generated with the exception of an antibody-antigen interaction. The success of free docking mainly depended on the accuracy of initial subunit models and on the scoring of docking solutions. To put our overall results in perspective, we analyzed our performance in the context of other CASP groups. Although the subunits in our assembly models often were not of the top quality, these models had, overall, the best predicted interfaces according to several protein-protein interface accuracy measures. Since we did not use co-evolution-based prediction of inter-chain contacts, we attribute our relative success in predicting interfaces primarily to the emphasis on the interaction interface when modeling and scoring.
PERI-OPERATIVE RISK FACTORS FOR LONG TERM INTELLIGENCE IN CHILDREN WITH POSTOPERATIVE...
Femke Aarsen
MarieLise van Veelen-Vincent

Femke Aarsen

and 3 more

May 03, 2021
Objective: 7-50% of children with medulloblastoma (MB) develop postoperative cerebellar mutism syndrome (pCMS). pCMS has a short-term negative impact on intelligence, but results on long-term outcomes are contradictory. The aim of this study was to assess long-term effects of pCMS in MB patients on aspects of intelligence (IQ) and its perioperative risk factors. Methods: In this single centre retrospective cohort study, 31 children with MB were included of which 14 had pCMS. Peri-operative risk factors included brainstem invasion, vermis incision, pre-and post-operative hydrocephalus, tumor size, duration and severity of pCMS, neurological symptoms on day 10 after surgery, mean body temperature (BT) on days 1-4 post surgery, and age at resection. Age appropriate Wechsler Intelligence tests were assessed within a structured follow up programme. Results: No significant differences in IQ scores were found between pCMS and non pCMS groups. The pCMS group had a clinically relevant difference of 10 points when compared to age norms on verbal IQ (VIQ). Bilateral pyramidal and swallowing problems were risk factors for lower performance in this group. In the overall group, tumor size, younger age at surgery, and raised mean BT on days 1-4 post-surgery were negatively correlated with aspects of IQ. Conclusions: We found a clinically significant reduction of VIQ in the pCMS patient group. pCMS patients with a larger tumor size, younger age at surgery, a higher mean BT in the first days after surgery, bilateral pyramidal symptoms, and swallowing problems 10 days post-surgery are more at risk for VIQ deficits at long-term.
Mapping Co-regulatory Interactions among Ligand Binding sites in RyR1
Venkat Chirasani
Konstantin Popov

Venkat Chirasani

and 3 more

May 03, 2021
Ryanodine receptor 1 (RyR1) is an intracellular calcium ion (Ca2+) release channel required for skeletal muscle contraction. Although cryo-electron microscopy identified binding sites of three coactivators Ca2+, ATP and caffeine (CFF), the mechanism of co-regulation and synergy of these activators is unknown. Here, we report allosteric connections among the three ligand binding sites and pore region in (i) Ca2+ bound-closed, (ii) ATP/CFF bound- closed, (iii) Ca2+/ATP/CFF bound-closed, and (iv) Ca2+/ATP/CFF bound-open RyR1 states. We identified two dominant interactions that mediate interactions between the Ca2+ binding site and pore region in Ca2+ bound-closed state, which partially overlapped with the pore communications in ATP/CFF bound-closed RyR1 state. In Ca2+/ATP/CFF bound-closed and -open RyR1 states, co-regulatory interactions were analogous to communications in the Ca2+ bound-closed and ATP/CFF bound- closed states. Both ATP- and CFF- binding sites mediate communication between the Ca2+ binding site and the pore region in Ca2+/ATP/CFF bound - open RyR1 structure. We conclude that Ca2+, ATP, and CFF propagate their effects to the pore region through a network of overlapping interactions that mediate allosteric control and molecular synergy in channel regulation.
Model and implementation of user activity tracking utilizing the TLS Client Hello's s...
Mauro M.

Mauro M.

May 03, 2021
This paper puts forward a feasible, non-intrusive, method of tracking user activity using TLS's Client Hello section of a handshake (specified in the TLS protocol), namely the server name extension. This method can provide an attacker with relevant information regarding patterns and services utilized inside of the target network, further expanding their understanding of the attack surface, potentially, serving as a tool to determine the timing of an attack or, even, provide an attacker with knowledge of a point of entry to a given system.
Oral adrenergic agents produced Ventricular fibrillation and QT prolongation in an el...
Kanae Hasegawa
Kentaro Ishida

Kanae Hasegawa

and 6 more

May 03, 2021
Mutant cardiac ryanodine receptor channels (RyR2) are “leaky,” and spontaneous Ca2+ release through these channels causes delayed afterdepolarizations that can deteriorate into ventricular fibrillation (VF). RYR2 is a causative gene of type 1 catecholaminergic polymorphic ventricular tachycardia (CPVT). Some patients carrying RYR2 mutations in CPVT exhibit QT prolongation and are initially diagnosed with long QT syndrome. However, none have been reported to cause drug-induced VF in patients with RYR2 variants. We describe the first case of an elderly woman with drug-induced QT prolongation and VF who carried a novel RYR2variant but no other mutations related to long QT syndrome.
A 60-year-old female with asymptomatic total thoracic-abdominal aortic aneurysm
Jian-Ying Deng
Wei Liu

Jian-Ying Deng

and 1 more

May 03, 2021
Total thoracic-abdominal aortic aneurysm is a rare disease in cardiovascular surgery, with high surgical risk and high mortality. Surgery is considered the most effective treatment for total aortic aneurysms. Recently, our group admitted a 60-year-old female patient with asymptomatic full thoracic-abdominal aortic aneurysm, and successfully performed staged surgery, namely Bentall + Sun’s operation in the first stage and thoraco-abdominal aortic replacement in the second stage. The results of the operation were satisfactory.
Highly clonal structure and abundance of one haplotype characterize the Diplodia sapi...
Kalev Adamson
Marili Laas

Kalev Adamson

and 18 more

May 03, 2021
Diplodia sapinea is a cosmopolitan endophyte and opportunistic pathogen occurring on several conifer species in Europe for at least 200 years. In Europe, disease outbreaks have increased on several Pinus spp. in the last few decades. In this study, the genetic structure of the European D. sapinea population was investigated using thirteen microsatellite markers. In total, 425 isolates from 15 countries were analysed. A high clonal fraction and low genetic distance between most populations was found. One single haplotype dominates the European population, being represented by 44% of all isolates and found in nearly all investigated countries. Three genetically distinct subpopulations were found: Central/North European, Italian and Georgian. The recently detected populations of D. sapinea in northern Europe (Latvia, Estonia and Finland) share several haplotypes with the German population, suggesting introduction from Central Europe. The northern European populations show similar genetic diversity to those in Central Europe suggesting either that the fungus has existed in the North in an asymptomatic mode for a long time or that it has spread recently by multiple introductions. Although this fungus reproduces predominantly asexually, considerable genetic diversity was found even among isolates of a single tree. According to currently published allelic patterns, D. sapinea most likely originates from North America. In order to enable the detection of endophytic or latent infections of planting stock by D. sapinea, new species-specific PCR primers were designed. During the search for Diplodia isolates, we identified D. africana in California, USA, which is the first record of this species in North America.
Two Rare Cases of Bronchus-Associated Lymphoid Tissue Lymphoma Successfully Treated w...
Nydia Panitz
Kristin Kuepper

Nydia Panitz

and 8 more

May 03, 2021
The bronchus-associated lymphoid tissue (BALT) lymphoma is a rare subtype of extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue (MALT lymphoma), affecting roughly 9% of all MALT lymphomas. The underlying pathomechanism of BALT lymphomas is not completely resolved and a standard of care treatment is so far not available.
Analisi ambientale ed economica degli scenari di fine vita degli impianti fotovoltaic...
Carlo  ambrosino

Carlo ambrosino

May 24, 2021
Le risorse del pianeta sono limitate dato che la produzione di energia avviene attraverso fonti non rinnovabili che utilizzano risorse naturali come i Combustibili fossili, Carbone, Petrolio, Gas naturali, Uranio e Plutonio. Esse si generano molto lentamente, perciò una volta terminate non saranno nuovamente disponibili in tempi brevi. L’utilizzo di tali fonti porta con sé problemi di carattere ambientale come l’incremento delle emissioni di CO2, assottigliamento dell’ozonosfera, cambiamenti climatici   e la produzione di scorie radioattive con conseguenze sulla salute.  Negli ultimi anni è stata prestata particolare attenzione alle energie alternative. Ad oggi, l'energia eolica e solare sono le principali fonti di energia rinnovabile su cui sono stati effettuati enormi investimenti negli ultimi anni. Tuttavia, il ciclo di vita di questi impianti è stimato in media circa 20 anni e molti di loro non sono più funzionali. Tali impianti devono essere smaltiti o migliorati sostituendo e riciclando le varie componenti usurate, spingendoci, sempre di più, nel verso dei principi dell’economia circolare. L’articolo consiste nell’ illustrare un’analisi economica-ambientale svolta su alcuni impianti eolici e solari, confrontandoli fra di loro. Si descrivono i vari scenari possibili, in cui sono stati applicati i principi del riutilizzo e del riciclo.
Village Morphology and the Construction of Place Identity in the Aihui Area along the...
Dong Wei
Yang Yani

Dong Wei

and 2 more

May 03, 2021
Place identity is the emotional connection between people and a place. It is significant for local development and people’s satisfaction and happiness in where they reside. The physical environment is one of the most important factors affecting people’s emotions toward a place. In order to clarify the theoretical analytical framework of the process from village space morphology to place identity, this study takes the area of Aihui along the Heilongjiang River, China, as an example. The research was conducted regarding two aspects: First, we analyzed the space morphology of the villages in the Aihui district and interpreted their locality. On this basis, we conducted a survey of villagers’ subjective perceptions of the village space and their place identity through in-depth interviews. From the collected interview texts, we extracted, verified, and analyzed the role of morphological constituents in the construction of place identity. Finally, a comprehensive framework was established. The features of space morphology are the projections of locality in physical space. People use morphological constituents to construct an image of the village and scenes of local life; morphological constituents with local characteristics can help enhance people’s place identity.
Response to Letter to the Editor: “Impact of preoperative troponin levels on cardiac...
Nicholas Hess
Arman Kilic

Nicholas Hess

and 1 more

May 03, 2021
Response to Letter to the Editor: “Impact of preoperative troponin levels on cardiac function following coronary surgery for myocardial infarction”Nicholas Hess MD1, Arman Kilic MD2
Cardiac amyloidosis and surgery. What do we know about rare diseases?
carlos mestres
Mathias van Hemelrijck

Carlos Mestres

and 1 more

May 03, 2021
Commentary to JOCS-2020-RA-1888
Edaphic factors controlling soil organic matter and C storage in miombo woodlands, Za...
Reuben Lembani
Jasper Knight

Reuben Lembani

and 1 more

May 03, 2021
Soil organic matter (SOM) is a key component of forest productivity and soil organic carbon stock. However, little is known about SOM and C variability in miombo woodlands which is a significant ecosystem in sub-Sahara African forests and vital for REDD+ strategies. In this study, nine edaphic factors were measured and used to analyse the variability of SOM in miombo woodland sites with different tree structures in Luanshya, Zambia. The findings showed a large variability of SOM stocks at different soil depths: 36.67 to 113.89 Mg ha-1 at 0–10 cm depth, 28.67 to 79.56 Mg ha-1 at 10–20 cm depth, and 31.89 to 98.56 Mg ha-1 at 20–30 cm depth. These SOM values at different depths also varied between miombo woodland sites of different successional stages, notably that areas affected by recent tree clearance had higher than average SOM content per layer (0–10 cm: +5.57%; 10–20 cm: +4.20%; 20–30 cm: +4.30%). Canonical correspondence analysis (CCA) revealed that the most significant environmental factors influencing SOM were woodland thinning by clearance, and silt content within soils. This study highlights that CCA can be used to show the relative importance of different forest successional stages as a function of management practices, as well as edaphic factors, in determining miombo soil SOM content. The results of this study are particularly relevant for addressing current REDD+ reforestation and management strategies that are aimed at increasing carbon stocks in the tropical forests of sub-Saharan Africa.
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