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  • 1
    Online Resource
    Online Resource
    Elsevier BV ; 2017
    In:  Visual Journal of Emergency Medicine Vol. 8 ( 2017-07), p. 100-101
    In: Visual Journal of Emergency Medicine, Elsevier BV, Vol. 8 ( 2017-07), p. 100-101
    Type of Medium: Online Resource
    ISSN: 2405-4690
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2017
    detail.hit.zdb_id: 2834833-3
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  • 2
    In: Neonatology, S. Karger AG, Vol. 113, No. 3 ( 2018), p. 269-274
    Abstract: 〈 b 〉 〈 i 〉 Background: 〈 /i 〉 〈 /b 〉 Phototherapy (PT) is widely used to prevent and treat severe hyperbilirubinemia and its associated risks for both acute and chronic bilirubin encephalopathy. Intensive PT, recommended for inpatient treatment of hyperbilirubinemia in term and near-term infants, is defined as having a spectral irradiance of ≥30 μW/cm 〈 sup 〉 2 〈 /sup 〉 /nm. 〈 b 〉 〈 i 〉 Objectives: 〈 /i 〉 〈 /b 〉 We aimed to assess local PT practices by measuring the irradiance of PT devices in local neonatal intensive care units and newborn nurseries. 〈 b 〉 〈 i 〉 Methods: 〈 /i 〉 〈 /b 〉 The irradiance footprint, including maximum irradiance at the center of the footprint, of 39 PT devices in 7 area hospitals was measured according to current practice in these facilities. 〈 b 〉 〈 i 〉 Results: 〈 /i 〉 〈 /b 〉 The mean ± SD (range) footprint irradiance was 20.7 ± 5.8 (8.8-29.4) μW/cm 〈 sup 〉 2 〈 /sup 〉 /nm. The mean ± SD maximum irradiance at the footprint center for all devices at a mean clinically used treatment distance of 33.1 ± 9.3 (25.5-60.0) cm was 27.8 ± 7.0 (14.7-42.0) μW/cm 〈 sup 〉 2 〈 /sup 〉 /nm. Sixty-two percent of the devices did not meet the minimum recommended spectral irradiance for intensive PT. For the sites without irradiance-based protocols, the maximum irradiance of the devices ( 〈 i 〉 n 〈 /i 〉 = 33) at the treatment distances was 25.8 ± 6.1 μW/cm 〈 sup 〉 2 〈 /sup 〉 /nm. 〈 b 〉 〈 i 〉 Conclusions: 〈 /i 〉 〈 /b 〉 Despite established PT guidelines, local protocols and practices vary. Based on an assessment of 7 local hospitals, intensive PT was suboptimal for 62% of devices. Straightforward changes, such as decreasing the distance between an infant and the light source and establishing a consistent irradiance-based protocol, could substantially improve the quality of the intervention.
    Type of Medium: Online Resource
    ISSN: 1661-7800 , 1661-7819
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2018
    detail.hit.zdb_id: 2403535-X
    SSG: 12
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  • 3
    Online Resource
    Online Resource
    Proceedings of the National Academy of Sciences ; 2003
    In:  Proceedings of the National Academy of Sciences Vol. 100, No. 24 ( 2003-11-25), p. 13803-13808
    In: Proceedings of the National Academy of Sciences, Proceedings of the National Academy of Sciences, Vol. 100, No. 24 ( 2003-11-25), p. 13803-13808
    Abstract: The protective antigen (PA) moiety of anthrax toxin transports edema factor and lethal factor to the cytosol of mammalian cells by a mechanism that depends on its ability to oligomerize and form pores in the endosomal membrane. Previously, some mutated forms of PA, designated dominant negative (DN), were found to coassemble with wild-type PA and generate defective heptameric pore-precursors (prepores). Prepores containing DN–PA are impaired in pore formation and in translocating edema factor and lethal factor across the endosomal membrane. To create a more comprehensive map of sites within PA where a single amino acid replacement can give a DN phenotype, we used automated systems to generate a Cys-replacement mutation for each of the 568 residues of PA 63 , the active 63-kDa proteolytic fragment of PA. Thirty-three mutations that reduced PA's ability to mediate toxicity at least 100-fold were identified in all four domains of PA 63 . A majority ( 22 ) were in domain 2, the pore-forming domain. Seven of the domain-2 mutations, located in or adjacent to the 2β 6 strand, the 2β 7 strand, and the 2β 10 -2β 11 loop, gave the DN phenotype. This study demonstrates the feasibility of high-throughput scanning mutagenesis of a moderate sized protein. The results show that DN mutations cluster in a single domain and implicate 2β 6 and 2β 7 strands and the 2β 10 –2β 11 loop in the conformational rearrangement of the prepore to the pore. They also add to the repertoire of mutations available for structure–function studies and for designing new antitoxic agents for treatment of anthrax.
    Type of Medium: Online Resource
    ISSN: 0027-8424 , 1091-6490
    RVK:
    RVK:
    Language: English
    Publisher: Proceedings of the National Academy of Sciences
    Publication Date: 2003
    detail.hit.zdb_id: 209104-5
    detail.hit.zdb_id: 1461794-8
    SSG: 11
    SSG: 12
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