Calibrated integrated backscatter and myocardial fibrosis in patients undergoing cardiac surgery.

Objective - The reported association between calibrated integrated backscatter (cIB) and myocardial fibrosis is based on study of patients with dilated or hypertrophic cardiomyopathy and extensive (mean 15–34%) fibrosis. Its association with lesser degrees of fibrosis is unknown. We examined the relationship between cIB and myocardial fibrosis in patients with coronary artery disease.

Methods - Myocardial histology was examined in left ventricular epicardial biopsies from 40 patients (29 men and 11 women) undergoing coronary artery bypass graft surgery, who had preoperative echocardiography with cIB measurement.

Results - Total fibrosis (picrosirius red staining) varied from 0.7% to 4%, and in contrast to previous reports, cIB showed weak inverse associations with total fibrosis (r=−0.32, p=0.047) and interstitial fibrosis (r=−0.34, p=0.03). However, cIB was not significantly associated with other histological parameters, including immunostaining for collagens I and III, the advanced glycation end product (AGE) Nε-(carboxymethyl)lysine (CML) and the receptor for AGEs (RAGE). When biomarkers were examined, cIB was weakly associated with log plasma levels of amino-terminal pro-B-type natriuretic peptide (r=0.34, p=0.03), creatinine (r=0.33, p=0.04) and glomerular filtration rate (r=−0.33, p=0.04), and was more strongly associated with log plasma levels of soluble vascular endothelial growth factor receptor-1 (sVEGFR-1) (r=0.44, p=0.01) and soluble RAGE (r=0.53, p=0.002).

Conclusions - Higher cIB was not a marker of increased myocardial fibrosis in patients with coronary artery disease, but was associated with higher plasma levels of sVEGFR-1 and soluble RAGE. The role of cIB as a non-invasive index of fibrosis in clinical studies of patients without extensive fibrosis is, therefore, questionable.

O uso das comunidades virtuais no ensino secundário: o caso do "Palco Virtual" ESEN-Net

A evolução do fluxo de informação e os potenciais da comunicação entre pessoas têm-se revelado deveras importante para o sucesso de diferentes organizações. A escola, enquanto organização social, apresenta uma complexidade natural própria a que se juntam todas as valências de ordem educativa, curricular e pedagógica. Tanto no âmbito educativo como organizacional, as Tecnologias de Informação e Comunicação (TIC) têm vindo a assumir um papel cada vez mais influente e imprescindível. Baseado numa metodologia de trabalho participativo e colaborativo, a construção de “palcos virtuais” resulta de uma análise de requisitos funcionais. Deste modo elabora-se um diagnóstico das necessidades de informação pela replicação das práticas diárias que podem ser quer suportadas, quer melhoradas por esta nova solução, fazendo-se um aproveitamento dos recursos físicos e humanos existentes nas escolas. A partir da iniciativa individual de um professor do grupo de informática da ESEN (Escola Secundária de Emídio Navarro – Viseu), teve início em 1999 o projecto ESEN-Net, como uma proposta de metodologia genérica para a construção de soluções baseadas em intranets para a gestão pedagógica de escolas do ensino secundário. O objectivo central deste trabalho é estudar uma comunidade que desenvolve um projecto de integração das TIC numa escola secundária, no sentido de proporcionar elementos que possam servir como contributos para melhorar a sua organização e, eventualmente, como referência para o desenvolvimento de projectos idênticos noutras escolas. A recolha de dados demonstra que a integração da TIC e o palco virtual ESEN-net veio transformar as práticas diárias na comunidade educativa através da utilização das redes telemáticas como instrumentos de ensino-aprendizagem. As TIC e o palco virtual ESEN-net vieram trazer benefícios à comunidade escolar, facilitando assim a criação e partilha de informação e contribuindo para a criação e desenvolvimento de uma comunidade virtual, onde a construção do saber pode ser feita de uma forma activa e partilhada.

Using a whole person approach to support people with cancer: a longitudinal, mixed methods service evaluation

Introduction: Improved models of care are needed to meet all the support needs of people with cancer, which encompass psychological, emotional, physical, spiritual, sexual, occupational, social and existential needs. The aim of this paper is to (1) evaluate short and long-term impacts of using a whole person approach to support people with cancer on the Living Well with the Impact of Cancer Course (LWC); (2) use these data to inform strategic decisions about future service provision at Penny Brohn UK. Methods: Longitudinal mixed-methods service evaluation (n=135). Data collected included health related quality of life (HRQoL) (FACIT-SpEx); Concerns (types and severity - MYCaW); lifestyle behaviour (bespoke questionnaire) and participants’ experiences over 12 months post course. Results: Statistically and clinically significant improvements from baseline - 12 months in severity of MYCaW Concerns (n=64; p<0.000) and mean total HRQoL (n=66; p<0.000). The majority of MYCaW concerns were ‘psychological and emotional’ and about participants’ wellbeing. Spiritual, emotional and functional wellbeing contributed most to HRQoL improvements at 12 months. Barriers to maintaining healthy lifestyle changes included lack of support from family and friends, time constraints, and returning to work. 3-6 months post-course was identified as the time when more support was most likely to be needed. Conclusions: Using a whole person approach for the LWC enabled the needs of participants to be met, and statistically and clinically significant improvements in HRQoL and MYCaW Concerns were reported. Qualitative data analysis explored how experiencing whole person support enabled participants to make and sustain healthy lifestyle changes associated with improved survivorship. Barriers experienced to making health behaviour change were also identified. These data then informed wider and more person-centred clinical provision to increase the maintenance of positive long-term behaviour changes. Comparison of whole person approaches to cancer treatment and support and standard care are now urgently needed.

Self-managing agents for dynamic scheduling in manufacturing

The main purpose of this paper is to propose a Multi-Agent Autonomic and Bio-Inspired based framework with selfmanaging capabilities to solve complex scheduling problems using cooperative negotiation. Scheduling resolution requires the intervention of highly skilled human problem-solvers. This is a very hard and challenging domain because current systems are becoming more and more complex, distributed, interconnected and subject to rapidly changing. A natural Autonomic Computing (AC) evolution in relation to Current Computing is to provide systems with Self-Managing ability with a minimum human interference.

Effects of selection and drift on G matrix evolution in a heterogeneous environment: a multivariate Qst-Fst Test with the freshwater snail Galba truncatula.

Unraveling the effect of selection vs. drift on the evolution of quantitative traits is commonly achieved by one of two methods. Either one contrasts population differentiation estimates for genetic markers and quantitative traits (the Q(st)-F(st) contrast) or multivariate methods are used to study the covariance between sets of traits. In particular, many studies have focused on the genetic variance-covariance matrix (the G matrix). However, both drift and selection can cause changes in G. To understand their joint effects, we recently combined the two methods into a single test (accompanying article by Martin et al.), which we apply here to a network of 16 natural populations of the freshwater snail Galba truncatula. Using this new neutrality test, extended to hierarchical population structures, we studied the multivariate equivalent of the Q(st)-F(st) contrast for several life-history traits of G. truncatula. We found strong evidence of selection acting on multivariate phenotypes. Selection was homogeneous among populations within each habitat and heterogeneous between habitats. We found that the G matrices were relatively stable within each habitat, with proportionality between the among-populations (D) and the within-populations (G) covariance matrices. The effect of habitat heterogeneity is to break this proportionality because of selection for habitat-dependent optima. Individual-based simulations mimicking our empirical system confirmed that these patterns are expected under the selective regime inferred. We show that homogenizing selection can mimic some effect of drift on the G matrix (G and D almost proportional), but that incorporating information from molecular markers (multivariate Q(st)-F(st)) allows disentangling the two effects.

Mediciones in situ de TS de diversas especies a finales del invierno de 1998. Crucero BIC Humboldt 9808-09

Se efectuaron mediciones de TS (Fuerza de Blanco, Target Strenght) durante los 108 lances de comprobación de ecotrazos realizados por el BIC Humboldt en el marco del Crucero 9808-09 de Evaluación Hidroacústica de Recursos Pelágicos. Se consideran para el análisis únicamente aquellos lances donde más del 90% de la captura perteneció a una sola especie. Los factores b20 de la ecuación de TS (TS=20 log L - b20) que han sido determinados, las cuales deberán ser considerados como provisionales, son las siguientes: Pez cinta (Trichiurus lepturus) = 70,95 (120 kHz); Vinciguerria o pez linterna (Vinciguerria lucetia pacifici) = 83,29 (120 kHz); Samasa (Anchoa nasus) = 86,57 (120 kHz); Caballa (Scomber japonicus) = 83,09 (120 kHz); Pez cinta (Trichiurus lepturus) = 71,41 (38 kHz); y Vinciguerria o pez linterna (Vinciguerria lucetia pacifici)= 82,04 (38kHz).

Mapping Bias Overestimates Reference Allele Frequencies at the HLA Genes in the 1000 Genomes Project Phase I Data.

Next-generation sequencing (NGS) technologies have become the standard for data generation in studies of population genomics, as the 1000 Genomes Project (1000G). However, these techniques are known to be problematic when applied to highly polymorphic genomic regions, such as the human leukocyte antigen (HLA) genes. Because accurate genotype calls and allele frequency estimations are crucial to population genomics analyses, it is important to assess the reliability of NGS data. Here, we evaluate the reliability of genotype calls and allele frequency estimates of the single-nucleotide polymorphisms (SNPs) reported by 1000G (phase I) at five HLA genes (HLA-A, -B, -C, -DRB1, and -DQB1). We take advantage of the availability of HLA Sanger sequencing of 930 of the 1092 1000G samples and use this as a gold standard to benchmark the 1000G data. We document that 18.6% of SNP genotype calls in HLA genes are incorrect and that allele frequencies are estimated with an error greater than ±0.1 at approximately 25% of the SNPs in HLA genes. We found a bias toward overestimation of reference allele frequency for the 1000G data, indicating mapping bias is an important cause of error in frequency estimation in this dataset. We provide a list of sites that have poor allele frequency estimates and discuss the outcomes of including those sites in different kinds of analyses. Because the HLA region is the most polymorphic in the human genome, our results provide insights into the challenges of using of NGS data at other genomic regions of high diversity.

L'Écho de Paris

1888/06/03 (Numéro 1534).

Bulla aurea... innovatoria bullae Julü Secundi super sindicatu omnium magistratuū et afficialiū in terris Sanitae Romanae Ecclesiae, exceptis personis Reverendiss. legatorum Cardinalium

[Acte pontifical. 1528-12-01]

Mélanges historiques et littéraires.

Contient : Chronique de Guillaume de Nangis ; Chroniques de Saint-Denis ; Histoire de Charles VI ; Traité de Raoul de Presle, et autres textes concernant l'oriflamme ; Testament de Bertrand, comte de Comminges ; Voyage à Jérusalem du seigneur d'Anglures ; Petit Jehan de Saintré ; Livre des Faits d'armes, de Christine de Pisan ; Chronique Martinienne, de Sébastien Mamerot ; Histoire de Jacques de Lalaing ; Érection du Parlement de Dijon ; Histoire de Saint-Arnoul de Metz ; Historia episcoporum et comitum Nivernensium, de Henri Betort ; Compendium historiae Antonianae, d'Aymar Falcon (Lyon, 1534 ; in-4° ) ; De origine Seraphicae religionis, de François Gonzague (Rome, 1587 ; in-fol) ; Histoire de Saint-Jacques de Compostelle ; Antiquités de Soissons, de N. Berlette et M. Bertin (cf. ms. fr. 3862) ; Histoire de l'antiquité de Vienne, par Jean Le Lièvre (Vienne, 1623 ; in-8°) ; Discours historique de la devocion à Notre-Dame du Puy, du P. Odo de Gissey (Lyon, 1620 ; in-8°) ; Nécrologe de l'ordre de Saint-Benoit ; Decisiones de Guy Pape ; « Reliefs forenses » de Sébastien Rouillard ; Consilia, de Guy Pape ; Commentaire sur la Coutume de Bordeaux, par Arnoul du Ferron ; Commentaire de Guy Coquille sur la Coutume de Nivernais ; Oeuvres d'Agobard ; Bréviaire de Coutances ; Plaidoyers de maître Louis Servin ; Commentaire sur la Coutume d'Anjou, de René Chopin ; Notice sur les bienfaiteurs du collège de Montaigu ; Mémoires de Jean de la Barre sur Corbeil ; Théâtre d'honneur et de chevalerie [par Favyn, Paris, 1620 ; in-4° ] ; « Libellus supplex Jacobi Coignée, advocati in suprema Parlamenti curia, ad Regem christianissimum, pro sancto Dionysio Areopagita » ; Trésor de vénerie, de Hardouin de Fontaine-Guérin [cf. Brunet, n° 13229]