An external site controls closing of the epithelial Na+ channel ENaC.

Members of the ENaC/degenerin family of ion channels include the epithelial sodium channel (ENaC), acid-sensing ion channels (ASICs) and the nematode Caenorhabditis elegans degenerins. These channels are activated by a variety of stimuli such as ligands (ASICs) and mechanical forces (degenerins), or otherwise are constitutively active (ENaC). Despite their functional heterogeneity, these channels might share common basic mechanisms for gating. Mutations of a conserved residue in the extracellular loop, namely the 'degenerin site' activate all members of the ENaC/degenerin family. Chemical modification of a cysteine introduced in the degenerin site of rat ENaC (betaS518C) by the sulfhydryl reagents MTSET or MTSEA, results in a approximately 3-fold increase in the open probability. This effect is due to an 8-fold shortening of channel closed times and an increase in the number of long openings. In contrast to the intracellular gating domain in the N-terminus which is critical for channel opening, the intact extracellular degenerin site is necessary for normal channel closing, as illustrated by our observation that modification of betaS518C destabilises the channel closed state. The modification by the sulfhydryl reagents is state- and size-dependent consistent with a conformational change of the degenerin site during channel opening and closing. We propose that the intracellular and extracellular modulatory sites act on a common channel gate and control the activity of ENaC at the cell surface.

Surgical site infection and its risk factors in colon surgeries

Abstract OBJECTIVE To identify the occurrence of surgical site infection (SSI) and its risk factors in patients undergoing colon surgery in a tertiary hospital located in the countryside of the state of São Paulo. METHOD Retrospective cohort study, with collection of information contained in the medical records of patients undergoing colon surgery in the period between January 2010 and December 2013. The studied variables were the possible risk factors related to the patient, to demographic characteristics and the surgical procedure. RESULTS In total, were evaluated 155 patients with an overall SSI incidence of 16.7%. A statistically significant association was found both in the univariate as in the multivariate analysis between the SSI and the following variables: male gender, Charlson index and mechanical bowel preparation. CONCLUSION The understanding of health professionals about the factors that influence the incidence of SSI in colon surgery may contribute to the quality of care provided to surgical patients, from effective actions to minimize the risk of infections.

Gestão de Conteúdo: Site do “Parque Natural da ilha do Fogo”

A crescente utilização das tecnologias da informação, em especial dos sistemas de informação, nas mais diversas áreas, torna-se aos poucos um elemento tão importante à sociedade quanto o trabalho humano. Não que ela irá substituí-lo, mas mostra-se cada vez mais uma ferramenta primordial no desenvolvimento de qualquer actividade. A evolução do ambiente de globalização, aliado ao desenvolvimento de novas tecnologias e novas técnicas de organização da informação, provocam inúmeras transformações na gestão dos conteúdos para Web. Nesse sentido, o presente relatório trata-se do desenvolvimento do Web Site do Parque Natural da ilha do Fogo e a Gestão do seu Conteúdo utilizando o Joomla que é um CMS (Content Management System) em maior expansão, sendo provavelmente o CMS mais procurado, com a maior comunidade e recursos disponíveis. Este trabalho apresenta um tema de grande relevância, principalmente para as organizações que querem disponibilizar informações para Web. Tendo um sistema de gestão de conteúdo fica mais fácil de actualização dos seus conteúdos, visto que muitos sites disponíveis na Web carecem da sua actualização.

Sistema de Gestão de Conteúdos – Estudo de Caso “Projecto de Desenvolvimento do Site do Ministério da Saúde”

Este trabalho foi desenvolvido no âmbito do Curso de Licenciatura em Informática – Ramo Educacional e tem por objecto estudar e avaliar o Sistema de Gestão de Conteúdos no Projecto de Desenvolvimento do Site do Ministério da Saúde cujo o objectivo é a implementação de um sistema de informação para a divulgação das actividades realizadas pelo Ministério da Saúde de Cabo Verde. Com o desenvolvimento das tecnologias de informação e comunicação, uma das mais populares formas de divulgação da informação tem sido através de criação de sites e aplicações web. Nessa óptica torna-se de extrema importância que uma instituição como o Ministério da Saúde disponha de um sistema de recolha, tratamento e divulgação de informação utilizando as tecnologias de informação e comunicação. No primeiro momento do trabalho fiz-se uma analise das tecnologias de comunicação, a web, os protocolos utilizados, linguagens de programação, base de dados MYSQL, servidores web, e especialmente o Sistema de Gestão de Conteúdos, seguido de um levantamento dos requisitos e uma análise das necessidades em matéria de infra-estruturas tecnológicas, e escolha de ferramentas de desenvolvimento de sites. Passou-se á recolha de informações através de contactos com todos os departamentos e estruturas do Ministério da Saúde. Segue-se a modelação e análise das informações de acordo com as estruturas dessa Instituição. Seguiu-se para a codificação que consiste praticamente na instalação e configuração dos elementos do joomla que são os templates, componente, módulos, mambots. Após as configurações, fez-se as ligações ou links para os documentos e páginas do site e finalmente os testes do site. Serviram de apoio nesse trabalho disciplinas do curso como Organização Interactiva, Sistemas de Informação, Metodologias de Sistema de Informação, Desenho Software, Desenvolvimentos de Projectos Informáticos e Base de Dados. Com o desenvolvimento deste espaço passa-se a divulgar e publicar todas as actividades relacionadas com a saúde, nomeadamente campanhas de sensibilização e informação, publicação de documentos, dados estatísticos, fóruns de discussões sobre a saúde, inquéritos on-line, entre outros. De salientar que o site neste momento se encontra funcionando e com uma grande audiência.

Suprapineal recess: an alternate site for third ventriculostomy? Case report.

This 30-year-old woman presented with clinical symptoms and signs of intracranial hypertension and Parinaud syndrome secondary to ventriculoperitoneal shunt dysfunction. Magnetic resonance (MR) imaging revealed gross triventricular hydrocephalus with a large suprapineal recess due to aqueductal stenosis. Using an endoscopic approach, a ventriculostomy was performed within the floor of the dilated suprapineal recess. Following this procedure the patient experienced alleviation of all her neurological symptoms and signs. Postoperative MR imaging and cerebrospinal fluid flow studies demonstrated a functioning ventriculostomy. The anatomy of the suprapineal recess and its suitability for endoscopic ventriculostomy are discussed.

Management of major accidents with on-site 144 dispatcher

Introduction: An excellent coordination between firefighters, policemen and medical rescue is the key to success in the management of major accidents. In order to improve and assist the medical teams engaged on site, the Swiss "medical command and control system" for rescue operations is based on a binomial set up involving one head emergency doctor and one head rescue paramedic, both trained in disaster medicine. We have recently experimented an innovative on-site "medical command and control system", based on the binomial team, supported by a dedicated 144 dispatcher. Methods: A major road traffic accident took place on the highway between Lausanne and Vevey on April 9th 2008. We have retrospectively collected all data concerning the victims as well as the logistics and dedicated structures, reported by the 144, the Hospitals, the Authority of the State and the Police and Fire Departments. Results: The 72-car pileup caused one death and 26 slightly injured patients. The management on the accident site was organized around a tripartite system, gathering together the medical command and control team with the police and fire departments. On the medical side, 16 ambulances, 2 medical response teams (SMUR), the Rega crew and the medical command and control team were dispatched by the 144. On that occasion an advanced medical command car equipped with communication devices and staffed with a 144 dispatcher was also engaged, allowing efficient medical regulation directly from the site. Discussion: The specific skills of one doctor and one paramedic both trained for disaster's management proved to be perfectly complementary. The presence of a dispatcher on site with a medical command car also proved to be useful, improving orders transmission from the medical command team to all other on- and off-site partners. It relieved the need of repeated back-and-forth communication with the 144, allowing both paramedic and doctor to focus on strategy and tactics rather than communication and logistics.

Methods for integration site distribution analyses in animal cell genomes.

The question of where retroviral DNA becomes integrated in chromosomes is important for understanding (i) the mechanisms of viral growth, (ii) devising new anti-retroviral therapy, (iii) understanding how genomes evolve, and (iv) developing safer methods for gene therapy. With the completion of genome sequences for many organisms, it has become possible to study integration targeting by cloning and sequencing large numbers of host-virus DNA junctions, then mapping the host DNA segments back onto the genomic sequence. This allows statistical analysis of the distribution of integration sites relative to the myriad types of genomic features that are also being mapped onto the sequence scaffold. Here we present methods for recovering and analyzing integration site sequences.

Differential Recognition of Old World and New World Arenavirus Envelope Glycoproteins by Subtilisin Kexin Isozyme 1 (SKI-1)/Site 1 Protease (S1P).

The arenaviruses are an important family of emerging viruses that includes several causative agents of severe hemorrhagic fevers in humans that represent serious public health problems. A crucial step of the arenavirus life cycle is maturation of the envelope glycoprotein precursor (GPC) by the cellular subtilisin kexin isozyme 1 (SKI-1)/site 1 protease (S1P). Comparison of the currently known sequences of arenavirus GPCs revealed the presence of a highly conserved aromatic residue at position P7 relative to the SKI-1/S1P cleavage side in Old World and clade C New World arenaviruses but not in New World viruses of clades A and B or cellular substrates of SKI-1/S1P. Using a combination of molecular modeling and structure-function analysis, we found that residueY285 of SKI-1/S1P, distal from the catalytic triad, is implicated in the molecular recognition of the aromatic "signature residue" at P7 in the GPC of Old World Lassa virus. Using a quantitative biochemical approach, we show that Y285 of SKI-1/S1P is crucial for the efficient processing of peptides derived from Old World and clade C New World arenavirus GPCs but not of those from clade A and B New World arenavirus GPCs. The data suggest that during coevolution with their mammalian hosts, GPCs of Old World and clade C New World viruses expanded the molecular contacts with SKI-1/S1P beyond the classical four-amino-acid recognition sequences and currently occupy an extended binding pocket.

Geophysical Investigations for Hydrogeological Characterization at the Kappelen Test Site (Switzerland)

Vertical electric soundings, 2D resistivity imaging and several logging measurements were performed at Kappelen test site to identify the various geolelectric facies that allowed determining the tabular and horizontal structure of the aquifer. The surface-based geoelectric methods allowed for a reliable characterization of the overall structure and the geometry of the aquifer, while geophysical logging methods allowed for inferring detailed hydrogeophysical characteristics, such as the electrical resistivity, total porosity, global and matrix density and hydraulic conductivity. The synoptic interpretation and integration of this broad and diverse database allows for constraining the key hydrological characteristics and hence forms the basis for the detailed hydraulic modelling of flow and transport process.

Site Development and Facility Expansion Regularly Assistance Program, November 1, 2006

The Iowa Department of Economic Development (IDED) helps businesses expand or locate all or part of their business in Iowa. It just makes sense for companies engaged in advanced manufacturing, biosciences and information solutions/financial services to look at Iowa and IDED helps to ensure theireconomic development timelines are met. Iowa is nationally recognized as an innovator in helping businesses by meeting their development needs in a timely and effective manner. IDED networks with Regulatory Assistance Coordinators in agencies across state government to reduce response time to businesses. This agency coordination helps to ensure that regulatory and compliance questions, or other needs associated with project site development and facility expansion are serviced quickly. We have listed information below about some of the more common regulatory requirements related to site development and expansion.

Egg laying site selection by a host plant specialist leaf miner moth at two intra-plant levels in the northern Chilean Atacama Desert

Egg laying site selection by a host plant specialist leaf miner moth at two intra-plant levels in the northern Chilean Atacama Desert. The spatial distribution of the immature stages of the leaf miner Angelabella tecomae Vargas & Parra, 2005 was determined at two intra-plant levels (shoot and leaflet) on the shrub Tecoma fulva fulva (Cav.) D. Don (Bignoniaceae) in the Azapa valley, northern Chilean Atacama Desert. An aggregated spatial pattern was detected for all the immature stages along the shoot, with an age dependent relative position: eggs and first instar larvae were clumped at apex; second, third and fourth instar larvae were mostly found at intermediate positions; meanwhile the spinning larva and pupa were clumped at basis. This pattern suggests that the females select new, actively growing leaflets for egg laying. At the leaflet level, the immature stages were found more frequently at underside. Furthermore, survivorship was higher for larvae from underside mines. All these results highlight the importance of an accurate selection of egg laying site in the life history of this highly specialized leaf miner. By contrast, eventual wrong choices in the egg laying site selection may be associated with diminished larval survivorship. The importance of the continuous availability of new plant tissue in this highly human modified arid environment is discussed in relation with the observed patterns.