The simian T-lymphotropic virus STLV-PP1664 from Pan paniscus is distinctly related to HTLV-2 but differs in genomic organization

We have isolated a highly divergent simian T-lymphotropic virus, STLV-PP1664, from a wild-caught bonobo (Pan paniscus). Previous phylogenetic analysis suggested that this virus represents an additional type of STLV but this has now become a matter of discussion. We have now obtained and analyzed the entire genome of STLV-PP1664. All major genes and their corresponding viral messengers were identified. Sequence comparison and phylogenetic analysis indicated that this virus, together with the closely related panp isolate, belongs to an early lineage within the PTLV-2 clade, differing from HTLV-2 by about 25%. In contrast to the HTLV-1 and HTLV-2 LTR, only two 21-bp repeats instead of three were found in the STLV-PP1664 LTR. Additional messengers, resulting from alternative splicing, potentially encode five different accessory proteins from open reading frames in the pX region: prorfI, porfII, ptorfV', and two isoforms of Rex. The amino acid sequences of these proteins are only distinctly related to the accessory proteins from HTLV-2. These data suggest a different genomic organization of the STLV-PP1664 pX region than that of HTLV-2. We conclude that STLV-PP1664, although related to HTLV-2, has some distinct features in the LTR and the pX regions, the impact of which needs further investigation. Although arguments pro and contra a distinct classification are nearly equally balanced, we propose to classify this virus as an STLV-2, designated STLV-2PP1664.     

Interobserver variation in wound assessments

Agreement in describing a chronic leg ulcer is pivotal in identifying and treating impediments to the healing process. Six nurses and one doctor without special experience with wound healing registered wound related diagnoses for a five month period. On average each patient was seen by three observers yielding 270 registrations. Agreement beyond chance (global kappa) showed poor to moderate agreement. Agreement was best for the yellow or malodorous wound and lowest for cellulitis, hypergranulation and peripheral pulses. This emphasizes the importance of allocating wound treatment to specialist departments with access to paraclinical investigations.     

The success of locoregional, low-dose recombinant interleukin-2 therapy in tumor-bearing mice is dependent on the time of rIL-2 administration

The most common chromosomal aberrations in myelodysplastic syndromes (MDS) are complete or partial loss of chromosomes 5 and 7, and trisomy 8. To identify genes important in the pathogenesis of this disease that could be associated with these gross chromosomal defects, we have employed the differential display PCR (DDPCR) procedure developed by Liang and Pardee. This method allows simultaneous comparison of several cDNA sources for the presence of differentially expressed genes. Polymorphonuclear cells (PMNs) from two MDS patients, containing a 5q deletion or a trisomy 8, and three healthy controls were used. Initial screening resulted in the identification of five and three partial cDNA sequences, respectively that were either differentially expressed in both patient samples or in individual patients, as compared with the controls. The authenticity of aberrant expression was verified by reanalyzing the same primer combinations on newly prepared cDNA. Differential expression of the three remaining fragments was subsequently checked on a larger panel of MDS patients, using amplicon-specific primer sets. These were obtained by cloning and sequencing of the fragments. For one partial cDNA (DC3), the original expression pattern, i.e., decreased expression in individual MDS patients, was confirmed. These results demonstrate the utility of the DDPCR procedure to isolate differentially expressed sequences in primary patient samples where the availability of cells is a limiting factor.     

Kinetic Study of the Steam Reforming of Isobutane Using a Pt–CeO2–Gd2O3 Catalyst

Steam reforming of isobutane on a 0.5% Pt–Ce_0.8Gd_0.2O_1.9 catalyst was carried out from 300 to 700 °C under integral conditions with a gas hourly space velocity (GHSV) of 12,000 h⁻¹. The major products were H₂, CO₂, CO and CH₄. The other products produced were ethane, ethylene, propane and propylene with a total molar composition of less than 1.5%. A complete conversion of isobutane was achieved at 700 °C, Kinetic data was obtained by changing the partial pressure of the reactants and the temperature under differential conditions with a GHSV of 55,400 h⁻¹. This was done after observing stable isobutane steam reforming for 160 h and under conditions where the mass transfer limitations were insignificant. An empirical Langmuir–Hinshelwood type model that best fit the kinetic data available was developed.     

Hydroformylation of functional alkenes with heterodonor phosphine rhodium catalysts: substrate or ligand directed regioselectivity?

The catalytic activity and selectivity of heterodonor phosphine rhodium catalysts prepared in situ were tested in the hydroformylation of functional alkenes (ethyl acrylate, methyl methacrylate, styrene, 4-vinyl-1-cyclohexene, dicyclopentadiene and cis-1,2,3,6-tetrahydrophthalic anhydride). Systematic variation of the heterodonor atom in the ortho position of the ligand showed that the heterodonor atom has a significant influence on the activities and selectivities of the reaction. However, the activity seems to depend mainly on the modifying ligand, and the regioselectivity mainly on the substrate (i.e., the structure and functionality of the alkene). Nevertheless, regioselective control is only obtained through synergy between the substrate and the catalyst. Clear regiocontrol was observed in the hydroformylation of ,-unsaturated esters and styrene with an in situ formed o-(thiomethylphenyl)diphenylphosphine rhodium catalyst.     

Ärztliche Verantwortung gegenüber Palliativpatienten unter dem neuen Paradigma der Kundenorientierung

Definition of the problem

Establishing a good physician–patient relationship based on mutual trust and professional responsibility is a central element in physicians’ professionalism. Recently, however, there has been considerable debate in the field of medical ethics regarding trends toward an economic approach to medicine, which could potentially undermine healthy doctor–patient relationships. Part of this economic approach to medicine involves viewing the patient as an autonomous customer. But what does the customer role mean for vulnerable patients who are restricted in their autonomy and what effect does it have on the physician–patient relationship?

Arguments

In the following article, we pursue the question whether the physicians’ responsibility and the physician–patient relationship change when the (vulnerable) patient attributes the customer role to him-/herself. The study was conducted within the field of palliative care because terminally ill patients represent an especially vulnerable patient population. We base our argumentation in this article on the results of a qualitative interview study that investigated terminally ill patients’ attitudes regarding the topic “the patient as customer” as well as autonomy and decision-making.

Conclusion

The interview results show that autonomy must be understood in relational terms; furthermore, the analysis of the interviews indicates that the physician plays a crucial role in enabling the patient’s autonomy, regardless of whether patients view themselves as a patient or a customer. Subsequently, we deliberate whether the patients’ statements point to potential changes in the doctor–patient relationship and physicians’ responsibility towards patients. Based on these findings, practical implications for the doctor–patient relationship are considered in regard to the “Ethics of Care”, emphasizing the need for an individualized approach to working with patients, especially those with particularly vulnerable conditions.     

The influence of chromium on mechanical properties of austempered ductile cast iron

An investigation was carried out to examine the influence of microstructure and chromium on the tensile properties and plane strain fracture toughness of austempered ductile cast iron (ADI). The investigation also examined the growth kinetics of ferrite in these alloys. Compact tension and round cylindrical tensile specimens were prepared from ductile cast iron with Cr as well as without Cr. These specimens were then given four different heat treatments to produce four different microstructures. Tensile tests and fracture toughness tests were carried out as per ASTM standards E-8 and E-399. The crack growth mechanism during fracture toughness tests was also determined. The test results indicate that yield strength, tensile strength, and fracture toughness of ADI increases with an increase in the volume fractions of ferrite, and the fracture toughness reaches a peak when the volume fractions of the ferrite are approximately 60% in these alloys. The Cr addition was found to reduce the fracture toughness of ADI at lower hardness levels (<40 HRC); at higher hardness levels (≥40 HRC), the effect of chromium on the fracture toughness was negligible. The crack growth mechanism was found to be a combination of quasi-cleavage and microvoid coalescences, and the crack trajectories connect the graphite nodules along the way.     

Adaptive Modelling and Simulation of Product Development Processes

A tool for modelling and simulation of product development processes has to be able to map the specific stochastic behaviour of these processes. Taking this into consideration, the paper presents an approach to adaptive modelling and simulation using Petri nets. New to this approach is that the process model is generated dynamically at simulation run time. Based on the effective premises and boundary conditions, generic processes are selected, parameterised, and integrated as an instance into the model. Thereby, the model is adapted to its present state at simulation run time. This enhances the quality of the simulation results.     

An open digital environment to support business ecosystems

We present a Peer-to-Peer network design which aims to support business activities conducted through a network of collaborations that generate value in different, mutually beneficial, ways for the participating organisations. The temporary virtual networks formed by long-term business transactions that involve the execution of multiple services from different providers are used as the building block of the underlying scale-free business network. We show how these local interactions, which are not governed by a single organisation, give rise to a fully distributed P2P architecture that reflects the dynamics of business activities. The design is based on dynamically formed permanent clusters of nodes, the so-called Virtual Super Peers (VSPs), and this results in a topology that is highly resilient to certain types of failure (and attacks). Furthermore, the proposed P2P architecture is capable of reconfiguring itself to adapt to the usage that is being made of it and respond to global failures of conceptual hubs. This fosters an environment where business communities can evolve to meet emerging business opportunities and achieve sustainable growth within a digital ecosystem.     

The hierarchical Tobit model: A case study in Bayesian computing

In this paper we discuss the potentials of a new Bayesian inference tool, called the Gibbs sampler, for the analysis of the censored regression or Tobit model. Tobit models have a wide range of applications in empirical sciences, like econometrics and biometrics. The estimation results of the simple Tobit model will be compared to a hierarchical Tobit model, and the Gibbs sampling approach to the related classical algorithm of expectation-maximisation (EM). The underlying botanical example of this paper is concerned with the censoring mechanism in plant reproduction and proposes the Bayesian Tobit model for the growth relationship between the reproductive part and the rest of the plant.