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Contract management of health care facilities: structural models.

Increasing numbers of hospitals and other health care facilities are evaluating various forms of contract management. Three models of health care facility contract management are the operating division, the wholly owned subsidiary and the shared or joint management models.

Contract Services↗

Estimating the accuracy of dietary questionnaire assessments: validation in terms of structural equation models.

The validity and precision of questionnaire assessments of the habitual intake of individuals are usually evaluated by comparison with reference measurements that are supposed to provide a best possible substitute for the individuals' true intake values. In the present paper, a measurement error model is presented, defining different types of error--random or systematic, and within or between individuals--that may occur in dietary intake measurements. It is then discussed how simple latent variable models (structural equation models) can be used to estimate the average magnitude of these various types of error. So far, approaches described for the analysis of dietary validity studies have all been based on the assumption that the random errors of repeat reference measurements, taken by the same method on different occasions, are uncorrelated, so that the average of a sufficiently large number of repeat reference measurements will provide an accurate ranking of individuals by true intake level. In the present paper it is described how, by additional comparison with a third type of measurement such as a biochemical marker, the validity of dietary questionnaire measurements can be evaluated even in situations where the random errors of repeat reference measurements can no longer be assumed to be independent.

Ascorbic Acid↗

Human cathepsin V functional expression, tissue distribution, electrostatic surface potential, enzymatic characterization, and chromosomal localization.

Cathepsin V, a thymus and testis-specific human cysteine protease, was expressed in Pichia pastoris, and its physicokinetic properties were determined. Recombinant procathepsin V is autocatalytically activated at acidic pH and is effectively inhibited by various cysteine protease class-specific inhibitors. The S2P2 subsite specificity of cathepsin V was found to be intermediate between those of cathepsins S and L. The substrate binding pocket, S2, accepted both aromatic and nonaromatic hydrophobic residues, whereas cathepsins L and S preferred either an aromatic or nonaromatic hydrophobic residue, respectively. In contrast to cathepsin L, but similar to cathepsin S, cathepsin V exhibited only a very weak collagenolytic activity. Furthermore, cathepsin V was determined to be significantly more stable at mildly acidic and neutral pH than cathepsin L, but distinctly less stable than cathepsin S. A homology structure model of cathepsin V revealed completely different electrostatic potentials on the molecular surface when compared with human cathepsin L. The model-based electrostatic potential of human cathepsin V was neutral to weakly positive at and in the vicinity of the active site cleft, whereas that of cathepsin L was negative over extended regions of the surface. Surprisingly, the electrostatic potential of the human cathepsin V model structure resembled that of the model structure of mouse cathepsin L. These differences in the electrostatic potential at the molecular surfaces provide a reactivity determinant that may be the source of differences in substrate selectivity and pH stability. Cathepsin V was mapped to the chromosomal region 9q22.2, a site adjacent to the cathepsin L locus. The high sequence identity and the overlapping chromosomal gene loci suggest that both proteases evolved from an ancestral cathepsin L-like precursor by gene duplication.

Amino Acid Sequence↗

Structures of copper(II) and manganese(II) di(hydrogen malonate) dihydrate; effects of intensity profile truncation and background modelling on structure models.

The crystal structures of the title compounds were determined with net intensities I derived via the background-peak-background procedure. Least-squares optimizations reveal differences between the low-order (0 < s < 0.7 A(-1)) and high-order (0.7 < s < 1.0 A(-1)) structure models. The scale factors indicate discrepancies of up to 10% between the low-order and high-order reflection intensities. This observation is compound independent. It reflects the scan-angle-induced truncation error, because the applied scan angle (0.8 + 2.0 tan theta) degrees underestimates the wavelength dispersion in the monochromated X-ray beam. The observed crystal structures show pseudo-I-centred sublattices for three of its non-H atoms in the asymmetric unit. Our selection of observed intensities (I > 3 sigma) stresses that pseudo-symmetry. Model refinements on individual data sets with (h + k + l) = 2n and (h + k + l) = 2n + 1 illustrate the lack of model robustness caused by that pseudo-symmetry. To obtain a better balanced data set and thus a more robust structure we decided to exploit background modelling. We described the background intensities B(H-->) with an 11th degree polynomial in straight theta. This function predicts the local background b at each position H--> and defines the counting statistical distribution P(B), in which b serves as average and variance. The observation R defines P(R). This leads to P(I) = P(R)/P(B) and thus I = R - b and sigma(2)(I) = I so that the error sigma(I) is background independent. Within this framework we reanalysed the structure of the copper(II) derivative. Background modelling resulted in a structure model with an improved internal consistency. At the same time the unweighted R value based on all observations decreased from 10.6 to 8.4%. A redetermination of the structure at 120 K concluded the analysis.

Journal Article↗

Development and validation of opioid ligand-receptor interaction models: the structural basis of mu vs delta selectivity.

Opioid receptor binding conformations for two structurally related, conformationally constrained tetrapeptides, JOM-6 ( micro receptor selective) and JOM-13 (delta receptor selective), were deduced using conformational analysis of these ligands and analogs with additional conformational restrictions. Docking of these ligands in their binding conformations to opioid receptor structural models, based upon the published rhodopsin X-ray structure, implicates specific structural features of the micro and delta receptor ligand binding sites as forming the basis for the micro selectivity of JOM-6 and the delta selectivity of JOM-13. In particular, the presence of E229 in the micro receptor (in place of the corresponding D210 of the delta receptor) causes an adverse electrostatic interaction with C-terminal carboxylate-containing ligands, resulting in the observed preference of ligands with an uncharged C-terminus for the micro receptor. In addition, the requirement that the Phe3 side chain of JOM-13 assume a gauche orientation for optimal delta binding, whereas the Phe3 side chain of JOM-6 must be in a trans orientation for high-affinity micro binding can be largely attributed to the steric effect of replacement of L300 of the delta receptor by W318 of the micro receptor. Testing this hypothesis by examining the binding of JOM-6 and several of its key analogs with specific micro receptor mutants is described. Our initial results are consistent with the proposed ligand-receptor interaction models.

Binding Sites↗

Evaluation in quantitative structure--property relationship models of structural descriptors derived from information-theory operators

During the search for new structural descriptors we have defined the information-theory operators U(M), V(M), X(M), and Y(M), that are computed from atomic invariants and measure the information content of the elements of molecular matrices. Structural descriptors computed with these four information-theory operators are used to develop structure-property models for the boiling temperature, molar heat capacity, standard Gibbs energy of formation, vaporization enthalpy, refractive index, and density of alkanes. The information-theory operators were applied to six molecular matrices, namely, the distance D, the reciprocal distance RD, the distance-path Dp, the reciprocal distance-path RDp, the path Szeged Sz(p), and the reciprocal path Szeged RSz(p) matrices. In combination with other topological indices, the information-theory indices offer good structure-property models for all six alkane properties investigated in this study.

Journal Article↗

Adjustment of provisional mortality series: the dynamic linear model with structured measurement errors.

The authors "consider the problem of adjusting provisional time series using a bivariate structural model with correlated measurement errors. Maximum likelihood estimators and a minimum mean squared error adjustment procedure are derived for a provisional and final series containing common trend and seasonal components. The model also includes measurement errors common to both series and errors that are specific to the provisional series. [The authors] illustrate the technique by using provisional data to forecast ischemic heart disease mortality."

Cause of Death↗

Modelling the structure of latexin-carboxypeptidase A complex based on chemical cross-linking and molecular docking.

We have determined the three-dimensional structure of the protein complex between latexin and carboxypeptidase A using a combination of chemical cross-linking, mass spectrometry and molecular docking. The locations of three intermolecular cross-links were identified using mass spectrometry and these constraints were used in combination with a speed-optimised docking algorithm allowing us to evaluate more than 3 x 10(11) possible conformations. While cross-links represent only limited structural constraints, the combination of only three experimental cross-links with very basic molecular docking was sufficient to determine the complex structure. The crystal structure of the complex between latexin and carboxypeptidase A4 determined recently allowed us to assess the success of this structure determination approach. Our structure was shown to be within 4 A r.m.s. deviation of Calpha atoms of the crystal structure. The study demonstrates that cross-linking in combination with mass spectrometry can lead to efficient and accurate structural modelling of protein complexes.

Algorithms↗