Genetic Sharing with Cardiovascular Disease Risk Factors and Diabetes Reveals Novel Bone Mineral Density Loci

Bone Mineral Density (BMD) is a highly heritable trait, but genome-wide association studies have identified few genetic risk factors. Epidemiological studies suggest associations between BMD and several traits and diseases, but the nature of the suggestive comorbidity is still unknown. We used a novel genetic pleiotropy-informed conditional False Discovery Rate (FDR) method to identify single nucleotide polymorphisms (SNPs) associated with BMD by leveraging cardiovascular disease (CVD) associated disorders and metabolic traits. By conditioning on SNPs associated with the CVD-related phenotypes, type 1 diabetes, type 2 diabetes, systolic blood pressure, diastolic blood pressure, high density lipoprotein, low density lipoprotein, triglycerides and waist hip ratio, we identified 65 novel independent BMD loci (26 with femoral neck BMD and 47 with lumbar spine BMD) at conditional FDR < 0.01. Many of the loci were confirmed in genetic expression studies. Genes validated at the mRNA levels were characteristic for the osteoblast/osteocyte lineage, Wnt signaling pathway and bone metabolism. The results provide new insight into genetic mechanisms of variability in BMD, and a better understanding of the genetic underpinnings of clinical comorbidity.

Sharing services, saving money? Five risks to cost saving when organizations share administrative services

Shared services are a popular reform for governments under financial pressure. The hope is to reduce overheads and increase efficiency by providing support services like HR, finance and procurement once to multiple agencies. Drawing on insights from organization theory and political science, we identify five risks that shared services won’t live up to current expectations. We illustrate each with empirical evidence from the UK, Ireland and further afield, and conclude with suggestions on how to manage these risks.

Novel Application of Genetic Sequencing algorithms to optimisation of hardware resource sharing for DSP

Field programmable gate array (FPGA) technology is a powerful platform for implementing computationally complex, digital signal processing (DSP) systems. Applications that are multi-modal, however, are designed for worse case conditions. In this paper, genetic sequencing techniques are applied to give a more sophisticated decomposition of the algorithmic variations, thus allowing an unified hardware architecture which gives a 10-25% area saving and 15% power saving for a digital radar receiver.

The perceived impact of interprofessional information sharing on young people about their sexual health care

This article presents the results from an analysis of data from service providers and young adults who were formerly in state care about how information about the sexual health of young people in state care is managed. In particular, the analysis focuses on the perceived impact of information sharing between professionals on young people. Twenty-two service providers from a range of professions including social work, nursing and psychology, and 19 young people aged 18–22 years who were formerly in state care participated in the study. A qualitative approach was employed in which participants were interviewed in depth and data were analysed using modified analytical induction (Bogdan & Biklen, 2007). Findings suggest that within the care system in which service provider participants worked it was standard practice that sensitive information about a young person’s sexual health would be shared across team members, even where there appeared to be no child protection issues. However, the accounts of the young people indicated that they experienced the sharing of information in this way as an invasion of their privacy. An unintended outcome of a high level of information sharing within teams is that the privacy of the young person in care is compromised in a way that is not likely to arise in the case of young people who are not in care. This may deter young people from availing themselves of the sexual health services.

Facilitating a culture of responsible and effective sharing of cancer genome data

Rapid and affordable tumor molecular profiling has led to an explosion of clinical and genomic data poised to enhance the diagnosis, prognostication and treatment of cancer. A critical point has now been reached at which the analysis and storage of annotated clinical and genomic information in unconnected silos will stall the advancement of precision cancer care. Information systems must be harmonized to overcome the multiple technical and logistical barriers to data sharing. Against this backdrop, the Global Alliance for Genomic Health (GA4GH) was established in 2013 to create a common framework that enables responsible, voluntary and secure sharing of clinical and genomic data. This Perspective from the GA4GH Clinical Working Group Cancer Task Team highlights the data-aggregation challenges faced by the field, suggests potential collaborative solutions and describes how GA4GH can catalyze a harmonized data-sharing culture.

Transplant glomerulopathy: clinico-pathologic features

Transplant glomerulopathy is a sign of chronic kidney allograft damage. It has a distinct morphology and is associated with poor allograft survival. We aimed to assess the prevalence and clinic-pathologic features of transplant glomerulopathy, as well as determine the functional and histological implications of its severity. We performed a single-centre retrospective observational study during an eight-year period. Kidney allograft biopsies were diagnosed and scored according to the Banff classification, coupled with immunofluorescence studies. The epidemiology, clinical presentation, outcomes (patient and graft survival) and anti-HLA alloantibodies were evaluated. Transplant glomerulopathy was diagnosed in 60 kidney transplant biopsies performed for clinical reasons in 49 patients with ABO compatible renal transplant and a negative T-cell complement dependent cytotoxicity crossmatch at transplantation. The estimated prevalence of transplant glomerulopathy was 7.4% and its cumulative prevalence increased over time. C4d staining in peritubular capillaries (27.6%) was lower than the frequency of anti-HLA antibodies (72.5%), the majority against both classes I and II. Transplant glomerulopathy was associated with both acute (mainly glomerulitis and peritubular capillaritis) and chronic histologic abnormalities. At diagnosis, 30% had mild, 23.3% moderate and 46.7% severe transplant glomerulopathy. The severity of transplant glomerulopathy was associated with the severity of interstitial fibrosis. Other histological features, as well as clinical manifestations and graft survival, were unrelated to transplant glomerulopathy severity.

A Web 2.0 e a escrita no 3º ciclo do ensino básico: a utilização do blogue

A crescente dinamização de blogues no contexto escolar português, resultante das mais-valias e dos respetivos incentivos à utilização de ferramentas tecnológicas da Web 2.0, assumiu uma prática frequente a partir dos inícios do século XXI. Uma rápida pesquisa na Internet permite-nos verificar um número considerável de blogues usados na lecionação do Português, bem como uma diversidade no que diz respeito a propósitos e finalidades de utilização. Com a nossa investigação pretendemos estudar de que forma se processa o ensino-aprendizagem da Língua Portuguesa/Português em alunos do 3.º Ciclo do Ensino Básico (CEB), através do recurso a esta ferramenta, colocando o foco de análise no domínio da escrita. Procuramos percecionar as motivações e as dinâmicas privilegiadas e recorrentes na utilização pedagógica dos blogues no âmbito do ensino-aprendizagem da escrita a alunos do 3.º CEB. O nosso percurso de investigação foi delineado de acordo com duas fases de atuação. Numa primeira, fizemos um levantamento de “blogues estratégia” associados à prática docente da disciplina de Português no 3.º CEB, optando, nesta etapa, por uma análise quantitativa. A pesquisa e o contacto mais aprofundado que fomos fazendo conduziram-nos à definição de critérios de seleção e à construção e reformulação de uma grelha de identificação e caracterização geral dos blogues, que nos orientou nesta recolha. Elaborámos e aplicámos também um questionário a professores dinamizadores de blogues no âmbito do nosso trabalho que permitiu o alargamento do nosso corpus documental, bem como definir outros elementos para posterior análise. Tendo em conta a diversidade de objetivos e finalidades, muitas vezes referidos nos próprios blogues, optámos por definir três categorias, de forma a favorecer a recolha e a amostra no âmbito no nosso trabalho, designadamente “Blogue Cartolina", “Blogue Turma” e “Blogue Projeto”. Numa segunda fase, e depois da seleção dos posts no âmbito do ensinoaprendizagem da escrita que fazem parte da nossa base documental, partimos para uma análise mais aprofundada do conteúdo publicado. Para tal, elaborámos uma segunda grelha com indicadores para recolha de dados, tendo definido quatro práticas de escrita (Divulgação, Solicitação, Reformulação e Partilha), e uma terceira grelha, com tipos de interação, para uma análise da participação através de comentários que se desencadeia a partir das publicações. No fundo, o nosso propósito consistiu em aferir a organização e as dinâmicas de funcionamento dos “blogues estratégia” ligados ao ensino-aprendizagem da escrita do 3.º Ciclo do Ensino Básico e, neste sentido, percecionarmos de que forma estas funcionalidades tecnológicas poderão contribuir para o desenvolvimento da escrita junto dos alunos.