OWL‐based acquisition and editing of computer‐interpretable guidelines with the CompGuide editor

Computer‐Interpretable Guidelines (CIGs) are the dominant medium for the delivery of clinical decision support, given the evidence‐based nature of their source material. Therefore, these machine‐readable versions have the ability to improve practitioner performance and conformance to standards, with availability at the point and time of care. The formalisation of Clinical Practice Guideline knowledge in a machine‐readable format is a crucial task to make it suitable for the integration in Clinical Decision Support Systems. However, the current tools for this purpose reveal shortcomings with respect to their ease of use and the support offered during CIG acquisition and editing. In this work, we characterise the current landscape of CIG acquisition tools based on the properties of guideline visualisation, organisation, simplicity, automation, manipulation of knowledge elements, and guideline storage and dissemination. Additionally, we describe the CompGuide Editor, a tool for the acquisition of CIGs in the CompGuide model for Clinical Practice Guidelines that also allows the editing of previously encoded guidelines. The Editor guides the users throughout the process of guideline encoding and does not require proficiency in any programming language. The features of the CIG encoding process are revealed through a comparison with already established tools for CIG acquisition.     

Identification of factors that accelerate hydrogen production by Clostridium butyricum RAK25832 using casamino acids as a nitrogen source

The ability of Clostridium butyricum RAK25832 to use casamino acids as a nitrogen source was investigated. Strain RAK25832 showed the capacity to utilize different types of carbon sources. With glucose as a carbon source (10 g/L), the preferred final concentration of casamino acids was 26.67 g/L, with a cumulative hydrogen production, production rate, and yield of 2505 mL H₂/L, 160 mL/h, and 1.81 mol H₂/mol glucose, respectively. Eighteen metal elements were screened to identify the most important metals for biohydrogen production, and four elements were optimized. The optimal medium composition was MgCl₂·6H₂O (0.1 g/L), K₂HPO₄·3H₂O (6.67 g/L), NaHCO₃ (2.6 g/L), and FeCl₂·4H₂O (0.002 g/L). Vitamin supplementation of the medium showed no significant effect on hydrogen production. Under the optimized conditions, cumulative hydrogen production reached 3074 mL H₂/L. This is the first study to demonstrate the use of casamino acids as a nitrogen source by C. butyricum.     

Evaluation of the impact of bioaugmentation and biostimulation by in situ hybridization and microelectrode

Three rotating disk biofilm reactors were operated to evaluate whether bioaugmentation and biostimulation can be used to improve the start-up of microbial nitrification. The first reactor was bioaugmented during start-up period with an enrichment culture of nitrifying bacteria, the second reactor received a synthetic medium containing NH(4)(+) and NO(2)(-) to facilitate concomitant proliferation of ammonia- and nitrite-oxidizing bacteria, and the third reactor was used as a control. To evaluate the effectiveness of bioaugmentation and biostimulation approaches, time-dependent developments of nitrifying bacterial community and in situ nitrifying activity in biofilms were monitored by fluorescence in situ hybridization (FISH) technique and microelectrode measurements of NH(4)(+), NO(2)(-), NO(3)(-), and O(2). In situ hybridization results revealed that addition of the enrichment culture of nitrifying bacteria significantly facilitated development of dense nitrifying bacterial populations in the biofilm shortly after, which led to a rapid start-up and enhancement of in situ nitrification activity. The inoculated bacteria could proliferate and/or survive in the biofilm. In addition, the addition of nitrifying bacteria increased the abundance of nitrifying bacteria in the surface of the biofilm, resulting in the higher nitrification rate. On the other hand, the addition of 2.1mM NO(2)(-) did not stimulate the growth of nitrite-oxidizing bacteria and did inhibit the proliferation of ammonia-oxidizing bacteria instead. Thus, the start-up of NO(2)(-) oxidation was unchanged, and the start-up of NH(4)(+) oxidation was delayed. In all the three biofilm reactors, data sets of time series analyses on population dynamics of nitrifying bacteria determined by FISH, in situ nitrifying activities determined by microelectrode measurements, and the reactor performances revealed an approximate agreement between the appearance of nitrifying bacteria and the initiation of nitrification activity, suggesting that the combination of these techniques was a very powerful monitoring tool to evaluate the effectiveness of bioaugmentation and biostimulation strategies.     

Source identification of nitrous oxide on autotrophic partial nitrification in a granular sludge reactor

Emission of nitrous oxide (N₂O) during biological wastewater treatment is of growing concern since N₂O is a major stratospheric ozone-depleting substance and an important greenhouse gas. The emission of N₂O from a lab-scale granular sequencing batch reactor (SBR) for partial nitrification (PN) treating synthetic wastewater without organic carbon was therefore determined in this study, because PN process is known to produce more N₂O than conventional nitrification processes. The average N₂O emission rate from the SBR was 0.32 ± 0.17 mg-N L⁻¹ h⁻¹, corresponding to the average emission of N₂O of 0.8 ± 0.4% of the incoming nitrogen load (1.5 ± 0.8% of the converted NH₄⁺). Analysis of dynamic concentration profiles during one cycle of the SBR operation demonstrated that N₂O concentration in off-gas was the highest just after starting aeration whereas N₂O concentration in effluent was gradually increased in the initial 40 min of the aeration period and was decreased thereafter. Isotopomer analysis was conducted to identify the main N₂O production pathway in the reactor during one cycle. The hydroxylamine (NH₂OH) oxidation pathway accounted for 65% of the total N₂O production in the initial phase during one cycle, whereas contribution of the NO₂⁻ reduction pathway to N₂O production was comparable with that of the NH₂OH oxidation pathway in the latter phase. In addition, spatial distributions of bacteria and their activities in single microbial granules taken from the reactor were determined with microsensors and by in situ hybridization. Partial nitrification occurred mainly in the oxic surface layer of the granules and ammonia-oxidizing bacteria were abundant in this layer. N₂O production was also found mainly in the oxic surface layer. Based on these results, although N₂O was produced mainly via NH₂OH oxidation pathway in the autotrophic partial nitrification reactor, N₂O production mechanisms were complex and could involve multiple N₂O production pathways.     

Organic removal by denitritation and methanogenesis and nitrogen removal by nitritation from landfill leachate

A system consisting of a two-stage UASB and anoxic-oxic reactor was used to enhance COD and nitrogen removal from landfill leachate. To improve denitrification efficiency, the raw leachate with recycled final effluent was pumped into the first-stage UASB (UASB1) to carry out simultaneous denitrification and methanogenesis. The results over 180 d show that the maximum organic removal rate in UASB1 and UASB2 was 12.5 and 8.5 kgCODm(-3)d(-1) in the oxic zone of the A/O reactor, respectively. The COD and biochemical oxygen demand (BOD5) removal efficiency of the system was 80-92% and about 99%, respectively. Without controlling temperature (17-30 degrees C) and dissolved oxygen (0.5-4.0 mgL(-1)), the maximum NH4+-N removal rate was 0.68 kg NH4+-Nm(-3)d(-1), and about 99% of NH4+-N removal was obtained by nearly complete nitritation. The 81-93% total nitrogen removal was obtained by complete denitrification in the UASB1 and in the anoxic zone of the A/O reactor. Fluorescence in situ hybridization (FISH) analysis of the sludge samples from A/O reactor showed that ammonia oxidizing bacteria (AOB) consisted 4% of the eubacterium, while nitrite oxidizing bacteria (NOB) counted less than 0.2% of that. The study shows that the main factors achieving and maintaining nitritation are a proper range of free ammonia concentration obtained by dilution recycled final effluent that inhibits NOB but not AOB; effective control on aeration time by indication of "ammonia valley" on pH profile; and highly efficient denitrification and its reproducing alkalinity to result in pH above 8.5.     

Molecular Mechanisms for the Regulation of Insulin-Stimulated Glucose Uptake by Small Guanosine Triphosphatases in Skeletal Muscle and Adipocytes

Insulin is a hormone that regulates the blood glucose level by stimulating various physiological responses in its target tissues. In skeletal muscle and adipose tissue, insulin promotes membrane trafficking of the glucose transporter GLUT4 from GLUT4 storage vesicles to the plasma membrane, thereby facilitating the uptake of glucose from the circulation. Detailed mechanisms underlying insulin-dependent intracellular signal transduction for glucose uptake remain largely unknown. In this article, I give an overview on the recently identified signaling network involving Rab, Ras, and Rho family small guanosine triphosphatases (GTPases) that regulates glucose uptake in insulin-responsive tissues. In particular, the regulatory mechanisms for these small GTPases and the cross-talk between protein kinase and small GTPase cascades are highlighted.     

‘Lipase and protease production of dairy Penicillium sp. on milk‐protein‐based solid substrates’

The lipolytic and proteolytic activity of Penicillium camemberti PC TT033 and Penicillium roqueforti PR G3, cultured on the whey solids or simulated cheese media, were compared under several pH reaction conditions. Lipolytic activity was higher when both strains had been cultured on the whey medium than on the simulated cheese medium, whereas proteolytic activity was less influenced by the culture medium. The relationship between the reaction pH and these enzyme activities was dependent on the culture medium, which suggested that the expression level and balance of isozyme rely on the culture substrate.     

Evaluation of multiple features for violent scenes detection

Multimedia Tools and Applications - Violent scenes detection (VSD) is a challenging problem because of the heterogeneous content, large variations in video quality, and complex semantic meanings of...     

Capability of Utilizing CYP3A5 Polymorphisms to Predict Therapeutic Dosage of Tacrolimus at Early Stage Post-Renal Transplantation

While CYP3A5 polymorphisms are used to predict the initial dosage of tacrolimus therapy, the predictive capability of genetic information for dosing at early stage post-renal transplantation is unknown. We investigated the influence of polymorphisms over time. An initial oral dose of modified-release once-daily tacrolimus formulation (0.20 mg/kg) was administered to 50 Japanese renal transplant patients every 24 h. Stepwise multiple linear regression analysis for tacrolimus dosing was performed each week to determine the effect of patient clinical characteristics. The dose-adjusted trough concentration was approximately 70% higher for patients with the CYP3A5*3/*3 than patients with the CYP3A5*1 allele before the second pre-transplantation tacrolimus dose (0.97 (0.78–1.17) vs. 0.59 (0.45–0.87) ng/mL/mg; p < 0.001). The contribution of genetic factors (CYP3A5*1 or *3) for tacrolimus dosing showed increased variation from Day 14 to Day 28 after transplantation: 7.2%, 18.4% and 19.5% on Days 14, 21 and 28, respectively. The influence of CYP3A5 polymorphisms on the tacrolimus maintenance dosage became evident after Day 14 post-transplantation, although the tacrolimus dosage was determined based only on patient body weight for the first three days after surgery. Tacrolimus dosage starting with the initial administration should be individualized using the CYP3A5 genotype information.