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991.
992.
MicroRNAs (miRNAs) are endogenous, small non‐coding RNAs known to regulate expression of protein‐coding genes. A large proportion of miRNAs are highly conserved, localized as clusters in the genome, transcribed together from physically adjacent miRNAs and show similar expression profiles. Since a single miRNA can target multiple genes and miRNA clusters contain multiple miRNAs, it is important to understand their regulation, effects and various biological functions. Like protein‐coding genes, miRNA clusters are also regulated by genetic and epigenetic events. These clusters can potentially regulate every aspect of cellular function including growth, proliferation, differentiation, development, metabolism, infection, immunity, cell death, organellar biogenesis, messenger signalling, DNA repair and self‐renewal, among others. Dysregulation of miRNA clusters leading to altered biological functions is key to the pathogenesis of many diseases including carcinogenesis. Here, we review recent advances in miRNA cluster research and discuss their regulation and biological functions in pathological conditions.  相似文献   
993.
994.
The discovery of microbial fibrinolytic enzymes is essential to treat cardiovascular diseases. This study reports the discovery of a fibrinolytic enzyme secreted by Bacillus cereus SRM-001, a microorganism isolated from the soil of a chicken waste-dump yard. The B. cereus SRM-001 was cultured and the secreted fibrinolytic enzyme purified to show that it is a ~28 kDa protein. The purified enzyme was characterized for its kinetics, biochemical and thermal properties to show that it possesses properties similar to plasmin. A HPLC-MS/MS analysis of trypsin digested protein indicated that the fibrinolytic enzyme shared close sequence homology with serine proteases reported for other Bacillus sp. The results show that the B. cereus SRM-001 secreted enzyme is a ~28 kDa serine protease that possesses fibrinolytic potential.  相似文献   
995.
996.
Geoffrey M. Reed  Jared W. Keeley  Tahilia J. Rebello  Michael B. First  Oye Gureje  José Luis Ayuso‐Mateos  Shigenobu Kanba  Brigitte Khoury  Cary S. Kogan  Valery N. Krasnov  Mario Maj  Jair de Jesus Mari  Pratap Sharan  Dan J. Stein  Min Zhao  Tsuyoshi Akiyama  Howard F. Andrews  Elson Asevedo  Majda Cheour  Tecelli Domínguez‐Martínez  Joseph El‐Khoury  Andrea Fiorillo  Jean Grenier  Nitin Gupta  Lola Kola  Maya Kulygina  Itziar Leal‐Leturia  Mario Luciano  Bulumko Lusu  J. Nicolás I. Martínez‐López  Chihiro Matsumoto  Mayokun Odunleye  Lucky Umukoro Onofa  Sabrina Paterniti  Shivani Purnima  Rebeca Robles  Manoj K. Sahu  Goodman Sibeko  Na Zhong  Wolfgang Gaebel  Anne M. Lovell  Toshimasa Maruta  Kathleen M. Pike  Michael C. Roberts  María Elena Medina‐Mora 《World psychiatry》2018,17(3):306-315
In this paper we report the clinical utility of the diagnostic guidelines for ICD‐11 mental, behavioural and neurodevelopmental disorders as assessed by 339 clinicians in 1,806 patients in 28 mental health settings in 13 countries. Clinician raters applied the guidelines for schizophrenia and other primary psychotic disorders, mood disorders (depressive and bipolar disorders), anxiety and fear‐related disorders, and disorders specifically associated with stress. Clinician ratings of the clinical utility of the proposed ICD‐11 diagnostic guidelines were very positive overall. The guidelines were perceived as easy to use, corresponding accurately to patients’ presentations (i.e., goodness of fit), clear and understandable, providing an appropriate level of detail, taking about the same or less time than clinicians’ usual practice, and providing useful guidance about distinguishing disorder from normality and from other disorders. Clinicians evaluated the guidelines as less useful for treatment selection and assessing prognosis than for communicating with other health professionals, though the former ratings were still positive overall. Field studies that assess perceived clinical utility of the proposed ICD‐11 diagnostic guidelines among their intended users have very important implications. Classification is the interface between health encounters and health information; if clinicians do not find that a new diagnostic system provides clinically useful information, they are unlikely to apply it consistently and faithfully. This would have a major impact on the validity of aggregated health encounter data used for health policy and decision making. Overall, the results of this study provide considerable reason to be optimistic about the perceived clinical utility of the ICD‐11 among global clinicians.  相似文献   
997.
Tahilia J. Rebello  Jared W. Keeley  María Elena Medina‐Mora  Oye Gureje  José Luis Ayuso‐Mateos  Shigenobu Kanba  Brigitte Khoury  Cary S. Kogan  Valery N. Krasnov  Mario Maj  Jair de Jesus Mari  Dan J. Stein  Min Zhao  Tsuyoshi Akiyama  Howard F. Andrews  Elson Asevedo  Majda Cheour  Tecelli Domínguez‐Martínez  Joseph El‐Khoury  Andrea Fiorillo  Jean Grenier  Nitin Gupta  Lola Kola  Maya Kulygina  Itziar Leal‐Leturia  Mario Luciano  Bulumko Lusu  J. Nicolas  I. Martínez‐López  Chihiro Matsumoto  Lucky Umukoro Onofa  Sabrina Paterniti  Shivani Purnima  Rebeca Robles  Manoj K. Sahu  Goodman Sibeko  Na Zhong  Michael B. First  Wolfgang Gaebel  Anne M. Lovell  Toshimasa Maruta  Michael C. Roberts  Kathleen M. Pike 《World psychiatry》2018,17(2):174-186
Reliable, clinically useful, and globally applicable diagnostic classification of mental disorders is an essential foundation for global mental health. The World Health Organization (WHO) is nearing completion of the 11th revision of the International Classification of Diseases and Related Health Problems (ICD‐11). The present study assessed inter‐diagnostician reliability of mental disorders accounting for the greatest proportion of global disease burden and the highest levels of service utilization – schizophrenia and other primary psychotic disorders, mood disorders, anxiety and fear‐related disorders, and disorders specifically associated with stress – among adult patients presenting for treatment at 28 participating centers in 13 countries. A concurrent joint‐rater design was used, focusing specifically on whether two clinicians, relying on the same clinical information, agreed on the diagnosis when separately applying the ICD‐11 diagnostic guidelines. A total of 1,806 patients were assessed by 339 clinicians in the local language. Intraclass kappa coefficients for diagnoses weighted by site and study prevalence ranged from 0.45 (dysthymic disorder) to 0.88 (social anxiety disorder) and would be considered moderate to almost perfect for all diagnoses. Overall, the reliability of the ICD‐11 diagnostic guidelines was superior to that previously reported for equivalent ICD‐10 guidelines. These data provide support for the suitability of the ICD‐11 diagnostic guidelines for implementation at a global level. The findings will inform further revision of the ICD‐11 diagnostic guidelines prior to their publication and the development of programs to support professional training and implementation of the ICD‐11 by WHO member states.  相似文献   
998.
999.

Objective

The objective of this study is to determine whether resistance training is similarly effective in reducing skeletal muscle efficiency and increasing strength in weight‐reduced and maximal weight subjects.

Methods

This study examined the effects of supervised resistance exercise on skeletal muscle in 14 individuals with overweight and obesity sustaining a 10% or greater weight loss for over 6 months and a phenotypically similar group of 15 subjects who had not reduced weight and were weight stable at their maximal lifetime body weight. We assessed skeletal muscle work efficiency and fuel utilization (bicycle ergometry), strength (dynamometry), body composition (dual energy x‐ray absorptiometry), and resting energy expenditure (indirect calorimetry) before and after 12 weeks of thrice‐weekly resistance training.

Results

Non–weight‐reduced subjects were significantly (10%‐20%) stronger before and after the intervention than reduced‐weight subjects and gained significantly more fat‐free mass with a greater decline in percentage of body fat than weight‐reduced subjects. Resistance training resulted in similar significant decreases (~10%) in skeletal muscle work efficiency at low‐level exercise and ~10% to 20% increases in leg strength in both weight‐reduced and non–weight‐reduced subjects.

Conclusions

Resistance training similarly increases muscle strength and decreases efficiency regardless of weight loss history. Increased resistance training could be an effective adjunct to reduced‐weight maintenance therapy.
  相似文献   
1000.
A series of highly functionalized thiophene (2) and thieno[3,2-c]pyran-4-one(4) derivatives have been synthesized and evaluated for their antileishmanial and antifungal activities.  相似文献   
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