A Model for Design and Implementation of a Laboratory Information-Management System Specific for Molecular Pathology Laboratory Operations.

The Molecular Pathology Section, Cleveland Clinic (Cleveland, OH), has undergone enhancement of its testing portfolio and processes. An Excel 2013- and paper-based data-management system was replaced with a commercially available laboratory information-management system (LIMS) software application, a separate bioinformatics platform, customized test-interpretation applications, a dedicated sample-accessioning service, and a results-releasing software application. The customized LIMS solution manages complex workflows, large-scale data packets, and process automation. A customized approach was required because, in a survey of commercially available off-the-shelf software products, none met the diverse and complex needs of this molecular diagnostics service. The project utilized the expertise of clinical laboratorians, pathologists, genetics counselors, bioinformaticians, and systems analysts in partnering with software-engineering consultants to design and implement a solution. Concurrently, Agile software-building best practices were formulated, which may be emulated for scalable and cost-effective laboratory-authored software.

Inclusion of Wheat Dried Distillers' Grains with Solubles from Bioethanol Plants in Diets for Dairy Cows.

Dried distillers' grains with solubles (DDGS) from bioethanol production can replace soya in diets for dairy cows, but the optimum inclusion level of European wheat DDGS (wDDGS) is unknown. Two batches of wDDGS from different UK bioethanol plants were fed to 44 (Experiment 1) and 40 (Experiment 2) cows in a Latin square design. Each wDDGS replaced soya and rapeseed at four inclusion levels (g/kg of diet dry matter (DM): 0, 80, 160 and 240-Experiment 1; 0, 75, 150 and 225-Experiment 2). Diets were balanced for metabolisable energy (ME) and protein (MP), and for minimum starch and saturated fat in Experiment 2. In Experiment 1, DM intake (29 kg/day) and milk yield (42.3 kg/day) were unaffected by wDDGS inclusion up to 160 g/kg but were lower than control with 240 g/kg inclusion, which was attributed to the low proportion of solubles in this wDDGS batch. In Experiment 2, DM intake (22.4 kg/day) and milk yield (32.1 kg/day) were unaffected by wDDGS inclusion up to 225 g/kg. ME content of wDDGS, determined in vivo (MJ/kg DM) was 12.1 (Experiment 1) and 13.4 (Experiment 2). It is concluded that the optimum inclusion level of wDDGS is at least 225 g/kg DM in diets balanced for minimum starch and saturated fat as well as ME and MP supplies.

SNAREs SYP121 and SYP122 Mediate the Secretion of Distinct Cargo Subsets.

SNARE (soluble N-ethylmaleimide-sensitive factor attachment protein receptor) proteins drive vesicle fusion and contribute to homoeostasis, pathogen defense, cell expansion, and growth in plants. In Arabidopsis (Arabidopsis thaliana), two homologous Qa-SNAREs, SYNTAXIN OF PLANTS121 (SYP121) and SYP122, facilitate the majority of secretory traffic to the plasma membrane, and the single mutants are indistinguishable from wild-type plants in the absence of stress, implying a redundancy in their functions. Nonetheless, several studies suggest differences among the secretory cargo of these SNAREs. To address this issue, we conducted an analysis of the proteins secreted by cultured wild-type, syp121, and syp122 mutant Arabidopsis seedlings. Here, we report that a number of cargo proteins were associated differentially with traffic mediated by SYP121 and SYP122. The data also indicated important overlaps between the SNAREs. Therefore, we conclude that the two Qa-SNAREs mediate distinct but complementary secretory pathways during vegetative plant growth.

Updates of the In-Gel Digestion Method for Protein Analysis by Mass Spectrometry.

The in-gel digestion of proteins for analysis by liquid chromatograph mass spectrometry has been used since the early 1990s. Although several improvements have contributed to increasing the quality of the data obtained, many recent publications still use sub-optimal approaches. Updates of the in-gel digestion protocol has been presented in the study. It has been shown that alternative reducing, alkylating agent reactions, and tryptic digestion buffers increase peptide and protein identification and reduce incubation times. The results indicate that a simultaneous and short, high temperature reduction and alkylation reaction using Tris(2-carboxyethyl)phosphine hydrochloride and chloroacetamide with a subsequent gel wash improve protein identification and sequence coverage, and diminish peptide side reactions. Additionally, use of 4-(2-hydroxyethyl)piperazine-1-ethanesulfonic acid buffer allows a significant reduction in the digestion time improving trypsin performance and increasing the peptide recovery. The updates of the in-gel digestion protocol described here are efficient and offer flexibility to be incorporated in any proteomic laboratory.

Comprehensive behavioral testing in the R6/2 mouse model of Huntington's disease shows no benefit from CoQ10 or minocycline.

Previous studies of the effects of coenzyme Q10 and minocycline on mouse models of Huntington's disease have produced conflicting results regarding their efficacy in behavioral tests. Using our recently published best practices for husbandry and testing for mouse models of Huntington's disease, we report that neither coenzyme Q10 nor minocycline had significant beneficial effects on measures of motor function, general health (open field, rotarod, grip strength, rearing-climbing, body weight and survival) in the R6/2 mouse model. The higher doses of minocycline, on the contrary, reduced survival. We were thus unable to confirm the previously reported benefits for these two drugs, and we discuss potential reasons for these discrepancies, such as the effects of husbandry and nutrition.

Nutrition education: a computer-based education program.

African Americans have higher than average rates of morbidity and mortality for numerous health conditions despite the improvements in overall health in the United States over the past century. Despite the proliferation of material on health promotion and health disparities concerns related to diet and health care for African Americans persist. In the present paper, the authors describe a computer-based nutrition education program designed for use with African American adults. Specific features of the program that qualify it as culturally-tailored are presented and preliminary results demonstrating success in improving nutrition in a church-based sample of 82 adults are provided.

Use of low molecular weight heparin in cats: 57 cases (1999-2003).

OBJECTIVE: To determine duration of administration, complications, and frequency of aortic thromboembolism associated with administration of low molecular weight heparin (dalteparin) in cats. DESIGN: Retrospective study. ANIMALS: 57 cats treated with dalteparin PROCEDURE: Data were recorded from the medical records of cats treated with dalteparin, and owners were contacted by telephone for information regarding ease of administration and possible adverse effects. RESULTS: Dalteparin was easily administered by owners. Median dose was 99 U/kg (45 U/lb) once or twice daily. Bleeding complications were infrequent. Of 43 cats with cardiomyopathy that received owner-administered dalteparin for a median follow-up time of 172 days, 8 cats developed documented or possible arterial thromboembolism. CONCLUSIONS AND CLINICAL RELEVANCE: Dalteparin was easily administered by owners and was well tolerated by cats. Whether dalteparin administration can reduce the frequency or severity of arterial thromboembolism is not yet known.

New Jersey and MARSSIM: perfect together (well, almost).

In order to encourage the timely and efficient cleanup of sites contaminated with radioactive materials, the New Jersey Department of Environmental Protection revised its Sampling Procedures Manual to follow the MARSSIM (NRC 2000) methodology. This was done concurrently with the proposal and subsequent adoption of its Soil Remediation Standards for Radioactive Materials (New Jersey Administrative Code Title 7, Department of Environmental Protection, Chapter 28 Radiation Protection Programs, Subchapter 12, Soil Remediation Standards for Radioactive Materials).

Establishing a collaborative relationship with a college of nursing.

Perioperative nursing typically is a small part of nursing school curricula, which makes it difficult to recruit new graduates into the perioperative field. St Luke's Episcopal Hospital, Houston, has taken a unique approach to addressing this problem by establishing a collaborative relationship with Prairie View A&M University, Houston. This collaborative relationship introduces perioperative nursing to nursing students who may never have considered the OR as an area of practice. In addition, it provides an opportunity for students to network with perioperative nurses, and it serves as a method for recruiting new graduates to St Luke's Episcopal Hospital.