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Studies in several organisms have contributed to the understanding of heterochromatin and its biological importance. In bees of the tribe Meliponini, the presence of chromosomes with totally heterochromatic arms has been attributed to the mechanism of karyotype evolution in which this group accumulated heterochromatin to maintain telomere stability after centric fission events. In the present study, the use of classical and molecular cytogenetic techniques as well as automated image analysis software for the description of the karyotypes of Partamonachapadicola and P. nhambiquara bee species revealed variability in the compaction and patterns of chromatin structure. Although both species have the same chromosome number as other species in the genus Partamona (2n = 34), C-banding and image analyses indicated the existence of chromosomes with 3 regions of different staining intensities, suggesting a chromatin structure with distinct patterns and characteristics. Repetitive DNA probes hybridized only in the euchromatic regions, whereas the regions with intermediate staining intensity did not show any hybridization signals. This suggests that these regions present features more similar to heterochromatin. Evidence of the existence of a chromatin class with intermediate condensation compared to euchromatin and heterochromatin indicates a potential mechanism for heterochromatin amplification and demonstrates the need for further studies on this topic. This previously unrecognized class of chromatin should be taken into account in the study of all Meliponini chromosomes.In both historical and contemporary populations, taller individuals have been shown to fare better in marriage markets. Height has been positively associated with the propensity to marry, length of marriage, and the education and economic outcomes of marriage partners. These associations are most commonly identified for male samples. Studies using female samples are few in number and mixed in their findings. This study uses a pooled sample of national surveys from 64 countries to evaluate how women's height may relate to the timing of marriage and partner characteristics. The findings suggest that women's height shows modest associations to the timing of marriage, partner education, and partner occupation status. The strongest effects from height occur toward the extremes of the height distribution. There is some variation in these relationships across three major developing regions (Latin America, Sub-Saharan Africa, and South Asia), and for education in particular, the association is shown to be stronger in countries with shorter average female height.Background The public health impacts of tropical cyclones (TCs) are expected to increase due to the continued growth of coastal populations and the increasing severity of these events. However, the impact of TCs on pregnant women, a vulnerable population, remains largely unknown. We aimed to estimate the association between prenatal exposure to TCs and risk of preterm birth in the eastern United States (US) and to assess whether the association varies by individual- and area-level characteristics. Methods We included data on 19,529,748 spontaneous singleton births from 1989 to 2002 across 378 US counties. In each county, we classified days as exposed to a TC when TC-associated peak sustained winds at the county's population-weighted center were >17.2 m/s (gale-force winds or greater). We defined preterm birth as births delivered prior to 37 completed weeks of gestation. We used distributed lag log-linear mixed-effects models to estimate the relative risk (RR) and absolute risk difference (ARD) for TC exposureearly preterm births and mothers living in more socially vulnerable counties but did not vary across strata of other hypothesized risk factors. Conclusions Maternal exposure to TC was associated with a higher risk of preterm birth. Our findings provide initial evidence that severe storms may trigger preterm birth.Objective It is important to train clinicians to maintain and optimise maternal and neonatal outcomes after vaginal twin delivery. Simulation-based training provides opportunities for training in a realistic way without harming patients. The aim of this study is to evaluate the effect of simulation-based training concerning twin vaginal delivery on knowledge and comfort of obstetrician-gynaecologists. Study design Obstetrician-gynaecologists participated in a twin vaginal delivery simulation between March 2018 and May 2019. Simulation-based training consisted of standardized patient interviews, didactic sessions and three different simulation-based scenarios internal podalic version and breech extraction, assisted vaginal delivery and vaginal breech delivery with problems of aftercoming head. Pre- and posttraining, participants were asked to fill out questionnaires exploring knowledge concerning vertex-vertex twin deliveries and vertex-nonvertex twin deliveries, level of comfort performing various obstetric md to 73.5% after training (p = 0.07). Conclusions Simulation-based training results in beneficial effects on knowledge and comfort concerning vaginal twin deliveries for obstetrician-gynaecologists. This training suggested a potential impact on provider practice with a more favourable attitude towards twin vaginal birth.In the course of productive phonological development, fricatives are among the last speech sounds to emerge and to be mastered by children, probably because of the high degree of articulatory precision they require or because of difficulties with their perception. Children with cochlear implants (CI) face additional difficulties with fricative perception, since high spectral frequency components are shown to be especially difficult to perceive with a cochlear implant. Studying fricative production in children with CIs allows to study how the partial transmission of speech sounds by cochlear implants influences children's speech production, and therefore to explore how perceptual abilities influence the late stages of phonological development. This acoustic study focuses on fricative production at three places of articulation (i.e., /f/, /s/ and /ʃ/), comparing productions by two groups of children (20 children with normal hearing (NH) vs. 13 children with CIs, all aged 5;7 to 10;7 years), and taking into accothat age span. The results also show that the acquisition of coarticulation strategies can be impeded by degraded or delayed access to audio.We report on familial 5 epilepsy patients with autosomal dominant inheritance of a novel heterozygous NUS1 frameshift mutation. All patients had cerebellar ataxia and tremor. Three patients were diagnosed with childhood absence epilepsy, 1 patient with generalized epilepsy, and 1 patient with parkinsonism without epilepsy. Our cases and previously reported cases with deletions of chromosome 6q22 that include NUS1 share these common symptoms. In a cellular experiment, NUS1 mutation led to a substantial reduction of the protein level of NUS1. Selleck WH-4-023 NUS1 mutation could contribute to epilepsy pathogenesis and also constitute a distinct syndromic entity with cerebellar ataxia and tremor.Objective Contrasting results are reported on the clinical course of acute diverticulitis (AD) in the geriatric population. The aim of this study is to compare the AD clinical outcomes between patients aged up to 80 years and those ≥80 years. Methods A total of 1139 patients were enrolled 276 patients aged ≥80 years were compared to a group of 863 patients aged less then 80 years. The primary outcome was to compare the overall mortality. Secondary outcomes included major complications, in-hospital length of stay (LOS), and need for surgical procedures. Results Patients ≥80 years with AD had different clinical presentation compared to younger patients they had less fever (21.4% vs. 35.2%; P less then 0.001) and abdominal pain (47.8% vs. 65.6%; P less then 0.001) rates, but a higher digestive tract bleeding (31.5% vs. 12.3%; p less then 0.001), and fatigue (12.7% vs. 7.1%; p = 0.004) rates. Median LOS, cumulative major complications and mortality rates were higher for patients ≥80 years. Multivariate analysis identified age, absence of abdominal pain, and dyspnea at presentation as independent predictors of intra hospital death or major complications. Conclusions Patients with AD and age ≥80 years have a higher mortality rate and cumulative major complications as compared younger patients. Invasive treatments were associated to a poor prognosis in this group.Objective This article introduces SCALPEL3 (Scalable Pipeline for Health Data), a scalable open-source framework for studies involving Large Observational Databases (LODs). It focuses on scalable medical concept extraction, easy interactive analysis, and helpers for data flow analysis to accelerate studies performed on LODs. Materials and methods Inspired from web analytics, SCALPEL3 relies on distributed computing, data denormalization and columnar storage. It was compared to the existing SAS-Oracle SNDS infrastructure by performing several queries on a dataset containing a three years-long history of healthcare claims of 13.7 million patients. Results and discussion SCALPEL3 horizontal scalability allows handling large tasks quicker than the existing infrastructure while it has comparable performance when using only a few executors. SCALPEL3 provides a sharp interactive control of data processing through legible code, which helps to build studies with full reproducibility, leading to improved maintainability and audit of studies performed on LODs. Conclusion SCALPEL3 makes studies based on SNDS much easier and more scalable than the existing framework [1]. It is now used at the agency collecting SNDS data, at the French Ministry of Health and soon at the National Health Data Hub in France [2].Background Guanxin V (GXV), a traditional herbal mixture, has been widely used in clinical practice for the treatment of coronary artery disease (CAD). This retrospective study was designed to assess the safety and effectiveness of GXV for CAD. Methods In our study, December 2006 to January 2009, 101 patients with CAD from Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine were enrolled, of whom 52 patients received GXV plus guideline-recommended medical therapy (GMT) (GXV group), 49 patients received GMT alone (GMT group). The general clinical information, traditional Chinese medicine syndrome score (TSS), the therapeutic effects, 6-minute walk test (6MWT), adverse events, echocardiography, and laboratory information were collected and analyzed pre-and post-treatment. Results We did not find differences in the information between the two groups before treatment. Patients in the GXV group had decreased TSS (P less then 0.0001) and increased therapeutic effects (P = 0.763) and 6MWT (P less then 0.0001) than those in the GMT group and there were no significant differences in safety between the two groups. Moreover, patients in the GXV group improved ejection fraction, cardiac output, and stroke volume (P = 0.2113, 0.0001, 0.0002, respectively), and dropped BNP (P = 0.3856) compared with those in the GMT group. Conclusions Superiority in the GXV group for patients with CAD was demonstrated over the GMT group for both the safety and effectiveness endpoints. This suggests that GXV is a potentially safe and effective treatment for CAD patients.

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