Revised nomenclature and classification of inherited ichthyoses: results of the First Ichthyosis Consensus Conference in Sorèze 2009.

BACKGROUND: Inherited ichthyoses belong to a large, clinically and etiologically heterogeneous group of mendelian disorders of cornification, typically involving the entire integument. Over the recent years, much progress has been made defining their molecular causes. However, there is no internationally accepted classification and terminology. OBJECTIVE: We sought to establish a consensus for the nomenclature and classification of inherited ichthyoses. METHODS: The classification project started at the First World Conference on Ichthyosis in 2007. A large international network of expert clinicians, skin pathologists, and geneticists entertained an interactive dialogue over 2 years, eventually leading to the First Ichthyosis Consensus Conference held in Sorèze, France, on January 23 and 24, 2009, where subcommittees on different issues proposed terminology that was debated until consensus was reached. RESULTS: It was agreed that currently the nosology should remain clinically based. "Syndromic" versus "nonsyndromic" forms provide a useful major subdivision. Several clinical terms and controversial disease names have been redefined: eg, the group caused by keratin mutations is referred to by the umbrella term, "keratinopathic ichthyosis"-under which are included epidermolytic ichthyosis, superficial epidermolytic ichthyosis, and ichthyosis Curth-Macklin. "Autosomal recessive congenital ichthyosis" is proposed as an umbrella term for the harlequin ichthyosis, lamellar ichthyosis, and the congenital ichthyosiform erythroderma group. LIMITATIONS: As more becomes known about these diseases in the future, modifications will be needed. CONCLUSION: We have achieved an international consensus for the classification of inherited ichthyosis that should be useful for all clinicians and can serve as reference point for future research.

Réunion African Joint Effort (AJE)

Le 23 et 24 octobre 2003, les représentants des sièges sociaux de l'OMS et du BIT ont rencontré d'autres participants dans le cadre de l'effort conjoint OMS/BIT sur la santé

A systolic array for linear MIMO detection based on an all-swap lattice reduction algorithm

A systolic array to implement lattice-reduction-aided lineardetection is proposed for a MIMO receiver. The lattice reductionalgorithm and the ensuing linear detections are operated in the same array, which can be hardware-efficient. All-swap lattice reduction algorithm (ASLR) is considered for the systolic design.ASLR is a variant of the LLL algorithm, which processes all lattice basis vectors within one iteration. Lattice-reduction-aided linear detection based on ASLR and LLL algorithms have very similarbit-error-rate performance, while ASLR is more time efficient inthe systolic array, especially for systems with a large number ofantennas.

Marked association between obesity and glomerular hyperfiltration: a cross-sectional study in an African population.

BACKGROUND: Obesity and African American ethnicity are established independent risk factors for the development of chronic kidney disease. No data exist about the association between obesity and renal hemodynamics in the African region. STUDY DESIGN: Cross-sectional study. SETTING & PARTICIPANTS: 301 nondiabetic participants (97 lean, 108 overweight, and 96 obese) of African descent with a positive family history of hypertension from the Seychelles islands. PREDICTOR: Body mass index (BMI). OUTCOMES: Glomerular hyperfiltration, glomerular filtration rate (GFR), effective renal plasma flow (ERPF), and filtration fraction. MEASUREMENTS: GFR and ERPF were measured using inulin and para-aminohippurate clearances, respectively. Participants' baseline demographics, laboratory data, and blood pressure were measured using standard techniques. RESULTS: The prevalence of glomerular hyperfiltration (defined as GFR >or=140 mL/min) increased across BMI categories (7.2%, 14.8%, and 27.1% for lean, overweight, and obese participants, respectively; P < 0.001). Higher BMI was associated with higher median GFR (99, 110, and 117 mL/min for lean, overweight, and obese participants, respectively; P < 0.001), ERPF (424, 462, and 477 mL/min, respectively; P = 0.01), and filtration fraction (0.23, 0.24, and 0.25; P < 0.001). Multivariate analyses adjusting for age, sex, blood pressure, fasting glucose level, and urinary sodium excretion and accounting for familial correlations confirmed the associations between high BMI (>25 kg/m(2)) and increased GFR, ERPF, and filtration fraction. No association between BMI categories and GFR was found with adjustment for body surface area. LIMITATIONS: Participants had a positive family history of hypertension. CONCLUSION: Overweight and obesity are associated with increased GFR, ERPF, and filtration fraction and a high prevalence of glomerular hyperfiltration in nondiabetic individuals of African descent. The absence of associations between BMI categories and GFR indexed for body surface area raises questions regarding the appropriateness of indexing GFR for body surface area in overweight populations.

Eficiência simbiótica de isolados de rizóbio noduladores de feijão-fava (Phaseolus lunatus L.)

Em leguminosas tropicais, a cuidadosa seleção de estirpes de rizóbio, entre outros fatores, é fundamental para a eficiência da fixação biológica de N2 (FBN). Essa seleção deve ser feita para as leguminosas de interesse social e econômico, entre elas o feijão-fava (Phaseolus lunatus L.). O objetivo deste trabalho foi avaliar a eficiência simbiótica de rizóbios nativos de duas regiões do Piauí produtoras de feijão-fava. Foram avaliados 17 isolados e duas estirpes de referência (CIAT 899 e NGR 234), em casa de vegetação, utilizando-se vasos de Leonard autoclavados, no delineamento experimental inteiramente ao acaso, com três repetições. O genótipo de feijão-fava utilizado foi o UFPI-468. A inoculação foi feita por ocasião do plantio. A coleta foi realizada aos 34 dias após o plantio, sendo avaliadas as seguintes características: matéria seca da parte aérea (MSPA), da raiz (MSR) e dos nódulos (MSN); relação MSPA/MSR; N acumulado (Nac) na MSPA e a eficiência da fixação de N2. Foi observada diferença significativa entre os isolados em todas as características, exceto em MSR. Em geral, os isolados ISO-18, ISO-23, ISO-24, ISO-25, ISO-30, ISO-32, ISO-35, ISO-36, ISO-43 e ISO-45 apresentaram os melhores índices de MSPA, MSR, MSPA/MSR, Nac e eficiência da fixação de N2, em relação aos isolados ISO-2, ISO-9, ISO-16, ISO-40 e testemunha absoluta. As características avaliadas foram suficientes para discriminar e selecionar isolados eficientes na nodulação em feijão-fava, contribuindo para a efetividade da FBN. Os melhores isolados apresentaram bom desempenho no fornecimento de N às plantas, podendo ser recomendados para testes de eficiência agronômica.

High protein intake reduces intrahepatocellular lipid deposition in humans.

BACKGROUND: High sugar and fat intakes are known to increase intrahepatocellular lipids (IHCLs) and to cause insulin resistance. High protein intake may facilitate weight loss and improve glucose homeostasis in insulin-resistant patients, but its effects on IHCLs remain unknown. OBJECTIVE: The aim was to assess the effect of high protein intake on high-fat diet-induced IHCL accumulation and insulin sensitivity in healthy young men. DESIGN: Ten volunteers were studied in a crossover design after 4 d of either a hypercaloric high-fat (HF) diet; a hypercaloric high-fat, high-protein (HFHP) diet; or a control, isocaloric (control) diet. IHCLs were measured by (1)H-magnetic resonance spectroscopy, fasting metabolism was measured by indirect calorimetry, insulin sensitivity was measured by hyperinsulinemic-euglycemic clamp, and plasma concentrations were measured by enzyme-linked immunosorbent assay and gas chromatography-mass spectrometry; expression of key lipogenic genes was assessed in subcutaneous adipose tissue biopsy specimens. RESULTS: The HF diet increased IHCLs by 90 +/- 26% and plasma tissue-type plasminogen activator inhibitor-1 (tPAI-1) by 54 +/- 11% (P < 0.02 for both) and inhibited plasma free fatty acids by 26 +/- 11% and beta-hydroxybutyrate by 61 +/- 27% (P < 0.05 for both). The HFHP diet blunted the increase in IHCLs and normalized plasma beta-hydroxybutyrate and tPAI-1 concentrations. Insulin sensitivity was not altered, whereas the expression of sterol regulatory element-binding protein-1c and key lipogenic genes increased with the HF and HFHP diets (P < 0.02). Bile acid concentrations remained unchanged after the HF diet but increased by 50 +/- 24% after the HFHP diet (P = 0.14). CONCLUSIONS: Protein intake significantly blunts the effects of an HF diet on IHCLs and tPAI-1 through effects presumably exerted at the level of the liver. Protein-induced increases in bile acid concentrations may be involved. This trial was registered at www.clinicaltrials.gov as NCT00523562.

Native Grassland Conversion: the Roles of Risk Intervention and Switching Costs

We develop a real option model of the irreversible native grassland conversion decision. Upon plowing, native grassland can be followed by either a permanent cropping system or a system in which land is put under cropping (respectively, grazing) whenever crop prices are high (respectively, low). Switching costs are incurred upon alternating between cropping and grazing. The effects of risk intervention in the form of crop insurance subsidies are studied, as are the effects of cropping innovations that reduce switching costs. We calibrate the model by using cropping return data for South Central North Dakota from 1989 to 2012. Simulations show that a risk intervention that offsets 20% of a cropping return shortfall increases the sod-busting cost threshold, below which native sod will be busted, by 41% (or $43.7/acre). Omitting cropping return risk across time underestimates this sod-busting cost threshold by 23% (or $24.35/acre), and hence underestimates the native sod conversion caused by crop production.

Adubação de aveia em dois sistemas de plantio

O objetivo deste trabalho foi determinar as doses de N, P e K necessárias para a obtenção da máxima produção econômica de forragem de aveia, linhagem UPF 87111, nos sistemas de plantio convencional e com cobertura morta, num Latossolo Vermelho distrófico típico. Utilizou-se como esquema experimental um fatorial fracionado (1/2)4³ com dois blocos ao acaso, total de 32 parcelas, sem repetição. Os tratamentos constituíram-se de quatro doses de N e de K2O (0, 70, 140 e 210 kg ha-1), como uréia e cloreto de potássio, respectivamente, e quatro doses de P2O5 (0, 60, 120, 180 kg ha-1), como superfosfato triplo. As doses de N, P e K para produção de forragem de aveia com máxima receita líquida, foram, em kg ha-1, 165 (N), 50 (P2O5), 53 (K2O), no plantio convencional, e 210 (N), 90 (P2O5) no plantio com cobertura morta, com produções de matéria seca de, respectivamente, 6.641 kg ha-1 e 7.322 kg ha-1. Nos dois sistemas de plantio houve resposta somente em relação ao N, e o seu uso resultou maior produção de forragem por unidade de nutriente aplicado.

Prevalence and significance of anti-HILA antibodies after liver transplantation : P236

Background: The pathogenic role of anti-HLA antibodies (AHA) after kidney transplantation is well established. However, its significance after liver transplantation remains unclear. The aim of our study was to determine the prevalence and significance of AHA after liver transplantation. Methods: Between January 2007 and November 2007, all liver transplant recipients who were greater than 6 months posttransplantation and followed regularly at our transplant outpatient clinic (n = 95) were screened for AHA. All clinical and electronic records were reviewed. Serum samples were tested using multiplex technology (Luminex). A liver biopsy had been performed in 55 out of the 95 patients based on clinical grounds but no routine protocol biopsies were performed. Immunosuppression was calcineurin inhibitor-based in 90 patients, sirolimus-based in 4 patients and one patient had no anti-rejection therapy (operationally tolerant recipient). Results: The mean time from transplantation to study was 85 months (range 6-248 months). Overall, AHA were found in 23/95 (24.2%) of patients (5 had anti-class I alone, 13 anti-class II alone, and 4 had both anti-class I and II). However, only 4/95 patients (4.2%) had donor-specific antibodies (DSA) (one anti-class I and 3 anti-class II). Twenty-one out of 95 patients (22.1%) had a history of past or current biopsy-proven or radiological biliary complications (chronic rejection, ischemic cholangitis, ischemic type biliary lesions or biliary anastomosis stricture). Among patients with AHA, 4/23 (17,4%) had biliary complications, while it was 17/72 (23.6%) in patients without AHA (NS). Among patients with DSA, 3/4 (75%) had biliary complications (two with biopsy-proven chronic rejection in association with biliary strictures and one with ischemic cholangitis following hepatic artery thrombosis), versus 1/19 (5.3%) patients with AHA but no DSA (p = 0.009), versus 16/72 (22.2%) patients without AHA (p = 0.046). In patients with DSA, immunosuppression was not different than in patients without DSA. Conclusions: We found a 24% AHA prevalence. The presence of DSA, but not of AHA, was significantly associated with an increased incidence of biliary complications including chronic liver allograft rejection. The exact mechanisms and possible causal relationship linking DSA to biliary complications remain to be studied. Larger prospective trials are thus needed to further define the role of AHA and in particular of DSA after liver transplantation.

Fragments de textes bibliques et de rituels de prières . Allemagne

Contient : Bible. A.T. Deutéronome (hébreu) (araméen) (extraits) ; Bible. A.T. Deutéronome (hébreu) (araméen) (extraits) ; Bible. A.T. Isaïe (hébreu) (extraits) ; Bible. A.T. Nombres (hébreu) (araméen) (extraits) ; Bible. A.T. Nombres (hébreu) (araméen) (extraits) ; Bible. A.T. Job (hébreu) (extraits) ; Bible. A.T. Nombres (hébreu) (araméen) (extraits) ; Bible. A.T. Nombres (hébreu) (araméen) (extraits) ; Bible. A.T. Nombres (hébreu) (araméen) (extraits) ; Acte notarié en allemand et notes d'un hébraïsant ; Notes en hébreu et document officiel en allemand ; Notes en hébreu ; Variantes de texte du livre d'Isaïe (chap. 49) ; Mahzor (rite ashkénaze) (extrait) ; Mahzor (rite ashkénaze) (extrait) ; Mahzor (rite ashkénaze) (extrait) ; Mahzor (rite ashkénaze) (extrait) ; Bible. A.T. (hébreu) (extraits) ; Mahzor (hébreu) (extrait)

Fragments de textes bibliques et de rituels de prières . Allemagne

Contient : Bible. A.T. Deutéronome (hébreu) (araméen) (extraits) ; Bible. A.T. Deutéronome (hébreu) (araméen) (extraits) ; Bible. A.T. Isaïe (hébreu) (extraits) ; Bible. A.T. Nombres (hébreu) (araméen) (extraits) ; Bible. A.T. Nombres (hébreu) (araméen) (extraits) ; Bible. A.T. Job (hébreu) (extraits) ; Bible. A.T. Nombres (hébreu) (araméen) (extraits) ; Bible. A.T. Nombres (hébreu) (araméen) (extraits) ; Bible. A.T. Nombres (hébreu) (araméen) (extraits) ; Acte notarié en allemand et notes d'un hébraïsant ; Notes en hébreu et document officiel en allemand ; Notes en hébreu ; Variantes de texte du livre d'Isaïe (chap. 49) ; Mahzor (rite ashkénaze) (extrait) ; Mahzor (rite ashkénaze) (extrait) ; Mahzor (rite ashkénaze) (extrait) ; Mahzor (rite ashkénaze) (extrait) ; Bible. A.T. (hébreu) (extraits) ; Mahzor (hébreu) (extrait)