The C4 Ppc promoters of many C4 grass species share a common regulatory mechanism for gene expression in the mesophyll cell

C₄ photosynthetic plants have evolved from C₃ ancestors and are characterized by differential expression of several hundred genes. Strict compartmentalization of key C₄ enzymes either to mesophyll (M) or bundle sheath cells is considered a crucial step towards the evolution of C₄ photosynthesis. In this study, we demonstrate that the 5'-flanking sequences of the C₄ type phosphoenolpyruvate carboxylase (Ppc) gene from three C₄ grass species could drive M-cell-specific expression of a reporter gene in rice. In addition to that, we identified about 450 bp (upstream of their transcription start site) of the analyzed C₄ Ppc promoters contain all the essential regulatory elements for driving M-cell-specific expression in rice leaves. Importantly, four motifs of conserved nucleotide sequences (CNSs) were also determined, which are essential for the activity of the promoter. A putative interaction between the CNSs and an unknown upstream element(s) is required for driving M-cell-specific expression. This work identifies the evolutionary conservation of C₄ Ppc regulatory mechanisms of multiple closely related C₄ grass species.

Mindful leadership for personal and organisational resilience

Given that the volatility, uncertainty, complexity, and ambiguity (i.e., "VUCA" nature) of our world will likely continue to increase over time, it is clear that learning how to develop our inner capabilities of mindfulness and resiliency is of the utmost priority for us as individuals, organisations, communities, and nations. In today's world - and tomorrow's - such capacity development for ourselves, our leaders, and our organisations is vital to bringing a deeper wisdom and care to our lives and work, and to our human flourishing. In our increasingly VUCA world of ever-increasing complexity, old norms, skillsets, and "business and usual" norms are simply insufficient to assure sustainable success. The kind of high-performance protocols that were once reserved for world-class athletes, martial artists, elite military troops, and sports teams, or monastic adepts, have now become essential training for any leader, professional, or organisation intent on assuring high standards for safety, quality care, sustained success, well-being, and meaningful beneficial influence in their medical centres and communities. Could it be that the global surge of interest in mindfulness and resiliency reflects a wise and evolutionary impulse perfectly adapted and responsive to meeting the challenges and realising the opportunities of the VUCA world in which we live and serve as dedicated health caring providers and practitioners?

Efficient 2-phosphoglycolate degradation is required to maintain carbon assimilation and allocation in the C4 plant Flaveria bidentis

Photorespiration is indispensable for oxygenic photosynthesis since it detoxifies and recycles 2-phosphoglycolate (2PG), which is the primary oxygenation product of Rubisco. However, C4 plant species typically display very low rates of photorespiration due to their efficient biochemical carbon-concentrating mechanism. Thus, the broader relevance of photorespiration in these organisms remains unclear. In this study, we assessed the importance of a functional photorespiratory pathway in the C4 plant Flaveria bidentis using knockdown of the first enzymatic step, namely 2PG phosphatase (PGLP). The isolated RNAi lines showed strongly reduced amounts of PGLP protein, but distinct signs of the photorespiratory phenotype only emerged below 5% residual PGLP protein. Lines with this characteristic were stunted in growth, had strongly increased 2PG content, exhibited accelerated leaf senescence, and accumulated high amounts of branched-chain and aromatic amino acids, which are both characteristics of incipient carbon starvation. Oxygen-dependent gas-exchange measurements consistently suggested the cumulative impairment of ribulose-1,5-bisphosphate regeneration with increased photorespiratory pressure. Our results indicate that photorespiration is essential for maintaining high rates of C4 photosynthesis by preventing the 2PG-mediated inhibition of carbon utilization efficiency. However, considerably higher 2PG accumulation can be tolerated compared to equivalent lines of C3 plants due to the differential distribution of specific enzymatic steps between the mesophyll and bundle sheath cells.

Manipulating photorespiration to increase plant productivity: recent advances and perspectives for crop improvement

Recycling of the 2-phosphoglycolate generated by the oxygenase reaction of Rubisco requires a complex and energy-consuming set of reactions collectively known as the photorespiratory cycle. Several approaches aimed at reducing the rates of photorespiratory energy or carbon loss have been proposed, based either on screening for natural variation or by means of genetic engineering. Recent work indicates that plant yield can be substantially improved by the alteration of photorespiratory fluxes or by engineering artificial bypasses to photorespiration. However, there is also evidence indicating that, under certain environmental and/or nutritional conditions, reduced photorespiratory capacity may be detrimental to plant performance. Here we summarize recent advances obtained in photorespiratory engineering and discuss prospects for these advances to be transferred to major crops to help address the globally increasing demand for food and biomass production.

Manipulating photorespiration to increase plant productivity: recent advances and perspectives for crop improvement

Recycling of the 2-phosphoglycolate generated by the oxygenase reaction of Rubisco requires a complex and energy-consuming set of reactions collectively known as the photorespiratory cycle. Several approaches aimed at reducing the rates of photorespiratory energy or carbon loss have been proposed, based either on screening for natural variation or by means of genetic engineering. Recent work indicates that plant yield can be substantially improved by the alteration of photorespiratory fluxes or by engineering artificial bypasses to photorespiration. However, there is also evidence indicating that, under certain environmental and/or nutritional conditions, reduced photorespiratory capacity may be detrimental to plant performance. Here we summarize recent advances obtained in photorespiratory engineering and discuss prospects for these advances to be transferred to major crops to help address the globally increasing demand for food and biomass production.

Psychological aspects of chronic tonic and clonic stuttering: suggested therapeutic approaches

A comparison of the personality profiles and intellectual functioning of 12 tonic and 18 clonic stutterers indicated that the groups could be discriminated on measures of verbal IQ, object relations, social isolation, somatization, and cognitive processing. Findings are examined in terms of the impact of type of functioning on maintenance of stuttering, and implications for treatment are discussed.

Differences in the frequency of ST segment depression during upright and supine exercise: assessment in normals and in patients with coronary artery disease

Increased utilization of ambulatory ST segment monitoring mandates an appreciation of nonischemic variables that may influence the ST segment. While a greater frequency of ST segment depression has been reported with supine vs upright exercise, the relative false positive rate in both positions is not known. Thus, we compared the frequency of exercise ECG abnormalities during upright and supine bicycle exercise in two groups--17 normals and 46 patients with coronary artery disease. Exercise was performed in combination with radionuclide ventriculographic imaging. Peak exercise heart rate, peak systolic blood pressure, and exercise duration time were all slightly higher in the upright vs supine position (p less than 0.05). Nevertheless, the frequency of positive ST segment responses was more common in the supine position, both in the patients with coronary artery disease (54% vs 30%, p less than 0.05) and in the normal subjects (29% vs 6%, p = NS). The corresponding radionuclide ventriculographic responses, however, were normal during upright and supine exercise in 6 of the 11 CAD patients and in all five of the normal subjects with an abnormal ST segment response during supine exercise only. The frequency of exercise-induced chest pain was also similar in the two positions. Thus, we theorize that nonischemic factors may govern some positive ST segment responses in the supine position. This finding is of relevance for understanding the potential sources of physiologic false positive ST segment responses for ambulatory ST segment monitoring.

High-field MR surface-coil imaging of the hand and wrist. Part I. Normal anatomy

High-resolution magnetic resonance (MR) images of the hands and wrists of six healthy volunteers were obtained at 1.5 T with a surface coil. Additionally, the hands and wrists of two fresh cadavers were imaged and were subsequently sectioned for anatomic correlation. High contrast when depicting soft-tissue, coupled with impressive spatial resolution and multiplanar capabilities, enabled delineation of fine structures including nerves, tendons, and blood vessels. Osseous and cartilaginous structures were also well depicted. MR imaging gives anatomic definition of the hand and wrist unmatched by other diagnostic imaging methods.

Extensive sarcoidosis involving the upper respiratory tract

Sarcoidosis is a multisystem granulomatous disease without pathognomonic symptomatology or pathology. It may involve the upper respiratory tract, but this manifestation is rarely threatening. A case is reported here, in which extensive destruction of the larynx due to involvement by sarcoidosis necessitated tracheostomy. A review of the literature and a discussion of the therapeutic considerations are presented.

A civilian case of fatal meningococcemia due to Neisseria meningitidis, group Y

The present report is that of a civilian episode of fatal, fulminant group Y meningococcemia in a previously healthy adolescent, who denied prior vaccination against group C meningococcus. The patient suffered abrupt onset of purpura, hypotension and cardiopulmonary arrest. A detailed clinical and pathologic report is included.

An unusual thyroid tumor in a child

Malignant neoplasms of the thyroid gland are quite rare in children. Winship, in his classic article, could find only 562 cases in the literature. The histopathological patterns resemble those of the adult tumors. Despite early cervical metastasis, the prognosis in general is favorable, with many long-term survivals. Prior exposure to radiation of the head and neck is a definite pre-disposing factor. Teratomas of the neck are a medical curiosity--less than 100 cases are described in the literature. The vast majority of these are found during the neonatal period, and are benign histologically. These are usually large, cystic, bulky masses which produce mechanical obstruction of the upper airway and digestive tract. Only one of these tumors, described by Pupovac in 1896, has been considered malignant. A six-year-old child was examined with a right thyroid mass of three months' duration. The thyroid scan showed a "cold nodule." At surgery, a well-encapsulated mass was found. The pathology showed a predominance of malignant spindle cells, with areas of papillary carcinoma; however, there were well-defined mucous glands present in the tumor. Clinically the child has remained well and asymptomatic. The slides have been extensively reviewed. To my knowledge no such tumor has been previously described. The tumor is considered to be a malignant thyroid tumor growing out of teratomatous tissue.

Silver from Ur of Ancient Mesopotamia

Silver jewelry from the Royal Tombs of Ur, about 2500 B.C., compares favorably in purity with present-day sterling, and it also met specifications recorded in cuneiform literatutre of a later period for similar objects. The original chemical composition has been greatly modified by corrosion, calcification, and chlorination. The source and diffusion of various elements detected were traced to study the original composition.