University of Rochester

About: University of Rochester is a education organization based out in Rochester, New York, United States. It is known for research contribution in the topics: Population & Laser. The organization has 63915 authors who have published 112762 publications receiving 5484122 citations. The organization is also known as: Rochester University.

Cardiac outcomes after screening for asymptomatic coronary artery disease in patients with type 2 diabetes: the DIAD study: a randomized controlled trial.

Abstract: Context Coronary artery disease (CAD) is the major cause of mortality and morbidity in patients with type 2 diabetes. But the utility of screening patients with type 2 diabetes for asymptomatic CAD is controversial. Objective To assess whether routine screening for CAD identifies patients with type 2 diabetes as being at high cardiac risk and whether it affects their cardiac outcomes. Design, Setting, and Patients The Detection of Ischemia in Asymptomatic Diabetics (DIAD) study is a randomized controlled trial in which 1123 participants with type 2 diabetes and no symptoms of CAD were randomly assigned to be screened with adenosine-stress radionuclide myocardial perfusion imaging (MPI) or not to be screened. Participants were recruited from diabetes clinics and practices and prospectively followed up from August 2000 to September 2007. Main Outcome Measure Cardiac death or nonfatal myocardial infarction (MI). Results The cumulative cardiac event rate was 2.9% over a mean (SD) follow-up of 4.8 (0.9) years for an average of 0.6% per year. Seven nonfatal MIs and 8 cardiac deaths (2.7%) occurred among the screened group and 10 nonfatal MIs and 7 cardiac deaths (3.0%) among the not-screened group (hazard ratio [HR], 0.88; 95% confidence interval [CI], 0.44-1.88; P = .73). Of those in the screened group, 409 participants with normal results and 50 with small MPI defects had lower event rates than the 33 with moderate or large MPI defects; 0.4% per year vs 2.4% per year (HR, 6.3; 95% CI, 1.9-20.1; P = .001). Nevertheless, the positive predictive value of having moderate or large MPI defects was only 12%. The overall rate of coronary revascularization was low in both groups: 31 (5.5%) in the screened group and 44 (7.8%) in the unscreened group (HR, 0.71; 95% CI, 0.45-1.1; P = .14). During the course of study there was a significant and equivalent increase in primary medical prevention in both groups. Conclusion In this contemporary study population of patients with diabetes, the cardiac event rates were low and were not significantly reduced by MPI screening for myocardial ischemia over 4.8 years. Trial Registration clinicaltrials.gov Identifier: NCT00769275

Myotonic Dystrophy in Transgenic Mice Expressing an Expanded CUG Repeat

Abstract: Myotonic dystrophy (DM), the most common form of muscular dystrophy in adult humans, results from expansion of a CTG repeat in the 3' untranslated region of the DMPK gene. The mutant DMPK messenger RNA (mRNA) contains an expanded CUG repeat and is retained in the nucleus. We have expressed an untranslated CUG repeat in an unrelated mRNA in transgenic mice. Mice that expressed expanded CUG repeats developed myotonia and myopathy, whereas mice expressing a nonexpanded repeat did not. Thus, transcripts with expanded CUG repeats are sufficient to generate a DM phenotype. This result supports a role for RNA gain of function in disease pathogenesis.

Memory representations in natural tasks

Abstract: The very limited capacity of short-term or working memory is one of the most prominent features of human cognition. Most studies have stressed delimiting the upper bounds of this memory in memorization tasks rather than the performance of everyday tasks. We designed a series of experiments to test the use of short-term memory in the course of a natural hand-eye task where subjects have the freedom to choose their own task parameters. In this case subjects choose not to operate at the maximum capacity of short-term memory but instead seek to minimize its use. In particular, reducing the instantaneous memory required to perform the task can be done by serializing the task with eye movements. These eye movements allow subjects to postpone the gathering of task-relevant information until just before it is required. The reluctance to use short-term memory can be explained if such memory is expensive to use with respect to the cost of the serializing strategy.

Ten things you should know about transposable elements

Abstract: Transposable elements (TEs) are major components of eukaryotic genomes. However, the extent of their impact on genome evolution, function, and disease remain a matter of intense interrogation. The rise of genomics and large-scale functional assays has shed new light on the multi-faceted activities of TEs and implies that they should no longer be marginalized. Here, we introduce the fundamental properties of TEs and their complex interactions with their cellular environment, which are crucial to understanding their impact and manifold consequences for organismal biology. While we draw examples primarily from mammalian systems, the core concepts outlined here are relevant to a broad range of organisms.

Robust Photogeneration of H2 in Water Using Semiconductor Nanocrystals and a Nickel Catalyst

Abstract: A major challenge in the design of artificial photosynthesis catalysts has been their instability under the reaction conditions—a problem that plants and other autotrophs address by perpetually reproducing their biochemical machinery. Han et al. (p. [1321][1], published online 8 November) now demonstrate a system for photoreductive hydrogen generation in water that manifests undiminished activity for weeks at a time. Semiconductor nanoparticles for light absorption were combined with a soluble nickel complex for the catalytic chemistry. The system currently requires a sacrificial electron donor, but its robustness shows promise for future pairing with an integrated oxidation catalyst. [1]: /lookup/doi/10.1126/science.1227775