Identification of emergencies in the telephone queue and routing to a fast track (FAST): study protocol for a prospective, two-armed cohort study.

Background: In Germany, the telephone patient service 116,117 for callers with non-life-threatening health issues is available 24/7. Based on structured initial assessment, urgency and placement of suitable medical care offer have been offered since 2020. The service has been in increasing demand for several years: Depending on time and residence, this can result in longer waiting times.

The rotavirus VP5*/VP8* conformational transition permeabilizes membranes to Ca2.

Rotaviruses infect cells by delivering into the cytosol a transcriptionally active inner capsid particle (a "double-layer particle": DLP). Delivery is the function of a third, outer layer, which drives uptake from the cell surface into small vesicles from which the DLPs escape. In published work, we followed stages of rhesus rotavirus (RRV) entry by live-cell imaging and correlated them with structures from cryogenic electron microscopy and tomography (cryo-EM and cryo-ET).

The rotavirus VP5*/VP8* conformational transition permeabilizes membranes to Ca.

Rotaviruses infect cells by delivering into the cytosol a transcriptionally active inner capsid particle (a "double-layer particle": DLP). Delivery is the function of a third, outer layer, which drives uptake from the cell surface into small vesicles from which the DLPs escape. In published work, we followed stages of rhesus rotavirus (RRV) entry by live-cell imaging and correlated them with structures from cryogenic electron microscopy and tomography (cryo-EM and cryo-ET).

Compliance and patient satisfaction with treatment settings recommended by the medical on-call service 116117 in Germany using computer-assisted structured initial assessment: a cross-sectional observational study accompanying the demand intervention.

Objectives: In order to reduce the use of emergency departments, computer-assisted initial assessment was implemented at the medical on-call service 116117. Our study assessed compliance and patient satisfaction.

Design: Cross-sectional observational postal survey.

Patient satisfaction with computer-assisted structured initial assessment facilitating patient streaming to emergency departments and primary care practices: results from a cross-sectional observational study accompanying the DEMAND intervention in Germany.

Background: Patient numbers in emergency departments are on the rise. The DEMAND intervention aims to improve the efficacy of emergency services by computer-assisted structured initial assessment assigning patients to emergency departments or primary care practices. The aims of our study were to evaluate patient satisfaction with this intervention and to analyse if reduced patient satisfaction is predicted by sociodemographic data, health status or health literacy.

Functional refolding of the penetration protein on a non-enveloped virus.

A non-enveloped virus requires a membrane lesion to deliver its genome into a target cell. For rotaviruses, membrane perforation is a principal function of the viral outer-layer protein, VP4. Here we describe the use of electron cryomicroscopy to determine how VP4 performs this function and show that when activated by cleavage to VP8* and VP5*, VP4 can rearrange on the virion surface from an 'upright' to a 'reversed' conformation.

Interference with SAMHD1 Restores Late Gene Expression of Modified Vaccinia Virus Ankara in Human Dendritic Cells and Abrogates Type I Interferon Expression.

Attenuated poxviruses like modified vaccinia virus Ankara (MVA) are promising vectors for vaccines against infectious diseases and cancer. However, host innate immune responses interfere with the viral life cycle and also influence the immunogenicity of vaccine vectors. Sterile alpha motif (SAM) domain and histidine-aspartate (HD) domain-containing protein 1 (SAMHD1) is a phosphohydrolase and reduces cellular deoxynucleoside triphosphate (dNTP) concentrations, which impairs poxviral DNA replication in human dendritic cells (DCs).

In situ Structure of Rotavirus VP1 RNA-Dependent RNA Polymerase.

Rotaviruses, like other non-enveloped, double-strand RNA viruses, package an RNA-dependent RNA polymerase (RdRp) with each duplex of their segmented genomes. Rotavirus cell entry results in loss of an outer protein layer and delivery into the cytosol of an intact, inner capsid particle (the "double-layer particle," or DLP). The RdRp, designated VP1, is active inside the DLP; each VP1 achieves many rounds of mRNA transcription from its associated genome segment.

Structural basis for membrane anchoring of HIV-1 envelope spike.

HIV-1 envelope spike (Env) is a type I membrane protein that mediates viral entry. We used nuclear magnetic resonance to determine an atomic structure of the transmembrane (TM) domain of HIV-1 Env reconstituted in bicelles that mimic a lipid bilayer. The TM forms a well-ordered trimer that protects a conserved membrane-embedded arginine.

Tumor suppressor cylindromatosis (CYLD) controls HIV transcription in an NF-κB-dependent manner.

Unlabelled: Characterizing the cellular factors that play a role in the HIV replication cycle is fundamental to fully understanding mechanisms of viral replication and pathogenesis. Whole-genome small interfering RNA (siRNA) screens have identified positive and negative regulators of HIV replication, providing starting points for investigating new cellular factors. We report here that silencing of the deubiquitinase cylindromatosis protein (CYLD), increases HIV infection by enhancing HIV long terminal repeat (LTR)-driven transcription via the NF-κB pathway.

Sensitive and specific immunohistochemical diagnosis of human alveolar echinococcosis with the monoclonal antibody Em2G11.

Background: Alveolar echinococcosis (AE) is caused by the metacestode stage of Echinococcus multilocularis. Differential diagnosis with cystic echinococcosis (CE) caused by E. granulosus and AE is challenging.

Replacement of the aortic valve and ascending aorta with an extended root stentless xenograft.

Purpose: We present an early series to determine the technical feasibility of simultaneous aortic valve and complete ascending aortic replacement using a longer stentless aortic xenograft, harvested with an extended root.

Description: The stentless xenograft valved conduits commercially available are too short for complete ascending aorta replacement, and usually a prosthetic tube graft is required distally.

Evaluation: To avoid this extra prosthetic conduit distally a number of stentless aortic xenografts with extended conduit were obtained from a supplier (Medtronic Inc).

Preparation and characterization of the argentates: [Ag[P(CF(3))(2)](2)](-), [Ag[(micro-P(CF(3))(2))M(CO)(5)](2)](-) (M = Cr, W), and [Ag[(micro-P(C(6)F(5))(2))W(CO)(5)](2)](-): X-ray crystal structure of [K(18-crown-6)][Ag[(micro-P(CF(3))(2))Cr(CO)(5)](2)].

The first example of a mononuclear diphosphanidoargentate, bis[bis(trifluoromethyl)phosphanido]argentate, [Ag[P(CF(3))(2)](2)](-), is obtained via the reaction of HP(CF(3))(2) with [Ag(CN)(2)](-) and isolated as its [K(18-crown-6)] salt. When the cyclic phosphane (PCF(3))(4) is reacted with a slight excess of [K(18-crown-6)][Ag[P(CF(3))(2)](2)], selective insertion of one PCF(3) unit into each silver phosphorus bond is observed, which on the basis of NMR spectroscopic evidence suggests the [Ag[P(CF(3))P(CF(3))(2)](2)](-) ion. On treatment of the phosphane complexes [M(CO)(5)PH(CF(3))(2)] (M = Cr, W) with [K(18-crown-6)][Ag(CN)(2)], the analogous trinuclear argentates, [Ag[(micro-P(CF(3))(2))M(CO)(5)](2)](-), are formed.

Preparation and characterization of [Hg[P(C6F5)2]2], [Hg[(mu-P(C6F5)2)W(CO)5]2], and [Hg[(mu-P(CF3)2)W(CO)5]2] and the X-ray crystal structure of [Hg[(mu-P(C6F5)2)W(CO)5]2].2DMF.

The thermally unstable compound [Hg[P(C(6)F(5))(2)](2)] was obtained from the reaction of mercury cyanide and bis(pentafluorophenyl)phosphane in DMF solution and characterized by multinuclear NMR spectroscopy. The thermally stable trinuclear compounds [Hg[(mu-P(CF(3))(2))W(CO)(5)](2)] and [Hg[(mu-P(C(6)F(5))(2))W(CO)(5)](2)] are isolated and completely characterized. The higher order NMR spectra exhibiting multinuclear satellite systems have been sufficiently analyzed.

Stabilization of the P(CF3)(2)(-) and P(C6F5)(2)(-) ions by coordination to pentacarbonyl tungsten: structures of [18-crown-6-K]P(CF3)2, [18-crown-6-K][W[P(CF3)2](CO)5], and [18-crown-6-K][[W(CO)5]2[mu-P(C6F5)2]].THF.

The stabilization of the P(CF(3))(2)(-) ion by intermediary coordination to the very weak Lewis acid acetone gives access to single crystals of [18-crown-6-K]P(CF(3))(2). The X-ray single crystal analysis exhibits nearly isolated P(CF(3))(2)(-) ions with an unusually short P-C distance of 184(1) pm, which can be explained by negative hyperconjugation and is also found by quantum chemical hybrid DFT calculation. Coordination of the P(CF(3))(2)(-) ion to pentacarbonyl tungsten has only a minor effect on electronic and geometric properties of the P(CF(3))(2) moiety, while a strong increase in thermal stability of the dissolved species is achieved.

Bis(trifluoromethyl)phosphane and bis(pentafluorophenyl)phosphane and their pentacarbonyl tungsten complexes: improved synthesis and an experimental and density functional study.

The use of Bu(3)SnH and Me(3)SnH in the synthesis of HP(CF(3))(2) and HP(C(6)F(5))(2) from the corresponding bromides leads to a high-yield synthesis, which additionally provides these compounds in large quantities. The pentacarbonyl tungsten complexes [W(CO)(5)PH(CF(3))(2)] and [W(CO)(5)PH(C(6)F(5))(2)] were synthesized reacting the corresponding phosphanes with [W(CO)(5)THF] and characterized by X-ray and elemental analysis as well as multinuclear NMR and mass spectroscopy. The vibrational analyses of HP(CF(3))(2) and HP(C(6)F(5))(2) and their tungsten pentacarbonyl complexes were achieved in combination with hybrid DFT calculations.

Stabilization of the P(CF(3))(2)(-) ion as a reversible CS(2) adduct, [P(CF(3))(2)CS(2)](-), and its potential use as a nucleophilic P(CF(3))(2)(-) source: synthesis and structure of [18-crown-6-K][P(C(6)F(5))(2)CS(2)].

The bis(trifluoromethyl)phosphanide ion, P(CF(3))(2)(-), decomposes slowly above -30 degrees C in CH(2)Cl(2) and THF solution. An increase of the thermal stability of the P(CF(3))(2)(-) moiety is observed if excess CS(2) is added. The P(CF(3))(2)(-) moiety is stabilized because of the formation of the bis(trifluoromethyl)phosphanodithioformate anion.