The document discusses ongoing efforts to develop more comprehensive human genome variant detection benchmarks, even as sequencing technologies continue advancing. It summarizes:
1) The Genome in a Bottle Consortium's work characterizing increasingly challenging variants and regions for benchmarking, including seven human genomes as reference materials.
2) Current efforts to benchmark variants in tandem repeats and develop new benchmarks based on complete diploid genome assemblies.
3) Planned expansions of the benchmarks to include additional genomes, variant types like mosaic variants, and integration with other omics data like RNA sequencing and methylation.
Presentation by Justin Zook at GRC/GIAB ASHG 2017 workshop "Getting the most from the reference assembly and reference materials" on benchmarks for indels and structural variants.
Presentation by Justin Zook at GRC/GIAB ASHG 2017 workshop "Getting the most from the reference assembly and reference materials" on benchmarks for indels and structural variants.
Complete Sequencing – Clifford Reid, PhD; CEO, Complete Genomics as presented at the Personalized Health Care Conference at Ohio State. Dr. Reid discussed what complete human sequencing looks like and costs now and in the near future.
Microbiome studies using 16S ribosomal DNA PCR: some cautionary tales.jennomics
Presentation at a workshop conducted by the UC Davis Bioinformatics Core Facility: Using the Linux Command Line for Analysis of High Throughput Sequence Data, September 15-19, 2014
Complete Sequencing – Clifford Reid, PhD; CEO, Complete Genomics as presented at the Personalized Health Care Conference at Ohio State. Dr. Reid discussed what complete human sequencing looks like and costs now and in the near future.
Microbiome studies using 16S ribosomal DNA PCR: some cautionary tales.jennomics
Presentation at a workshop conducted by the UC Davis Bioinformatics Core Facility: Using the Linux Command Line for Analysis of High Throughput Sequence Data, September 15-19, 2014
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
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- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
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Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
1. Remaining benchmarking challenges even with “Q100” genomes
Benchmarking small and large variants in tandem repeats
Accurate detection of variants is important for clinical and research use. NIST hosts the Genome in a Bottle
Consortium, which develops metrology infrastructure for characterization of human whole genome variant
detection. GIAB has characterized increasingly challenging variants and regions since it was formed in 2012.
Consortium products include:
• Benchmarks and extensive WGS for seven broadly-consented human genomes, including 2 son-mother-
father trios, released as NIST Reference Materials (RMs)
• Benchmarking tools for robust and standardized variant comparison
Overview
Genome in a Bottle benchmarks in the era of complete human genomes
Nathan D. Olson1, Justin Wagner1, Nathan Dwarshuis1, Jennifer McDaniel1, Adam English2, Fritz Sedlazeck2, Justin M. Zook1, and the Genome in a Bottle Consortium
1: Material Measurement Laboratory, National Institute of Standards and Technology, Gaithersburg, MD, USA
2. Human Genome Sequencing Center, Baylor College of Medicine, Houston, TX, USA
Ongoing and Future work
How different repeat types cause challenges with variant calling
Led by Adam English and Fritz Sedlazeck at BCM
• Catalog of STR and VNTR regions derived from multiple
sources, annotated in a standardized way
• New truvari refine module to compare different representations
of complex variants in TRs
• v1.0 benchmark for indels and SVs >=5bp in TRs
• 124,728 small and 17,988 large variants
• ~8% of the genome, but ~25% of variants in HG002
Benchmark development: https://github.com/ACEnglish/adotto
Benchmarking tool: https://github.com/ACEnglish/truvari
Genome in a Bottle Consortium
• New broadly-consented Tumor-Normal pair (see poster PB5090)
• Expand use of genome stratifications (see poster PB3519 from Nate Dwarshuis)
• New GIABv3 GRCh38 reference with masked false duplications and new decoy sequences
• GIAB data portal under development to make it easier to find data
New collaborators welcome! Follow us via email lists at www.genomeinabottle.org and @GenomeInABottle
Recruiting experts in any variant calling method to evaluate benchmarks - please email: jzook@nist.gov
T2T X&Y Chromosomes
Benchmark
Towards a “Q100” Benchmark with T2T Consortium
Olson et al, Variant calling and benchmarking in an era of complete human genome sequences, Nat Rev Genetics 2023
Homopolymers and Tandem Repeats Segmental Duplications
GIAB data for other omics (RNA-seq and methylation)
• Based on complete X and Y assemblies of
HG002 from T2T Consortium
• Benchmark excludes homopolymers
>30bp and some shorter homopolymers
• Working with T2T-Q100 effort below
to correct these in the assembly
• Curated differences between 11 short and
long read callsets and benchmark to
ensure it reliably identifies errors
• Pilot RNA-seq experiment (led by Miten Jain at Northeastern and Fritz Sedlazeck at BCM)
• Cell lines: Lymphoblastoid cell line (LCL) and 2 iPSCs from HG002; LCL from HG004 and HG005
• Public Data: Illumina mRNA and total RNA; PacBio Iso-seq; ONT cDNA and direct RNA
• Analysis: LCL vs iPSC comparison and possible isoform benchmark
• Methylation data generated with bisulfite-seq, EM-seq, HiFi, and ONT from GIAB LCLs (Foox et al)
2023+
T2T-based
benchmarks for
whole genome
and new cancer
genomes
2023
v1.0 assembly-
based benchmark
for tandem
repeats
2023
v1.0 assembly-
based benchmark
for chromosomes
X & Y
2023
Draft benchmark
for mosaic
variants
2022
Challenging
medically relevant
gene assembly-
based benchmark
for small variants
and SVs
2022
Small variant
benchmarks
(v4.2.1), from
mapping
short+long reads
Expanding GIAB Benchmarks
Bases in Benchmark Regions SNVs INDELs
161,549,546 87,452 24,273
T2T diploid
assembly
• Start with curated trio-based verkko assembly of HiFi and ultralong ONT (Sergey Koren, Nancy Hansen, Adam Phillippy, et al)
Polishing
• Align short reads to individual haplotypes and long reads to combined haplotypes of the assembly
• Use parental assemblies to phase collapsed heterozygous variants in homopolymers in homozygous regions
• Trio-based variant calling to identify and phase errors with Element and Onso (see Fleharty poster PB3462)
Curation
• Structural errors due to assembly errors or low HiFi coverage
• “False heterozygous” variants in assembly, mostly in homopolymers and diTRs (Element & Onso help correct homopolymers)
• “Collapsed heterozygous” variants in assembly, mostly in highly homozygous regions
Benchmark
development
• Assemblies as "genome benchmarks"
• Curated alignments of assemblies to reference to benchmark reference-based small variant and SV calls
Genome in a Bottle
Consortium
Illumina&HiFi
kmer QV
kmer errors kmer switch
errors
(mat/pat)
Genotype
errors vs
GIABv4.2.1
(SNV/indel)
v0.7 66.9 27,142 0.027/0.022 811/1762
v0.9 71.8 8,239 0.0053/0.0019 84/353
v1.0 75.1 3,906 0.0037/0.0011 TBD
GRCh38
HG002
Mosaic variants (see draft
GIAB mosaic benchmark in
posters PB3382/PB5114)
https://www.nature.com/articles/s41586-023-06457-y/figures/2
How to represent TSPY2 moving 4Mbp and TSPY array copy number as variants?
New v3.3 stratifications for repeats
in GRCh37/38 and T2T-CHM13
https://doi.org/10.1101/2023.10.27.563846
Complex gene conversion-like
events included in XY benchmark:
Assemblies and data at:
https://github.com/marbl/HG002
Joint benchmarking of SNVs, indels, and SVs:
exploratory work with Tim Dunn using
https://github.com/TimD1/vcfdist
Short read (2020 pFDA) Long read (2020 pFDA)
Variant
Type
Region v4.2.1 CMRG XY v4.2.1 CMRG XY
SNV All benchmark 0.997 0.977 0.899 1.000 0.981 0.932
SNV
Segmental
duplications
0.951 0.835 0.600 0.991 0.893 0.785
INDEL All benchmark 0.997 0.963 0.815 0.996 0.967 0.738
INDEL TRs 0.993 0.915 0.721 0.997 0.955 0.645
INDEL
Homopolymers
>11bp
0.998 0.972 0.789 0.990 0.959 0.677
INS >15 All benchmark 0.960 0.821 0.538 0.997 0.919 0.505
F1 decreases as new benchmarks include more challenging variants