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Article ; Online: Amino acid usage and protein expression levels in the flatworm Schistosoma mansoni.

Lamolle, Guillermo / Iriarte, Andrés / Simón, Diego / Musto, Héctor

2023 Volume 255, Page(s) 111581

Abstract: ... bilharzia. At the genomic level, S. mansoni is AT-rich, but has some compositional heterogeneity. Indeed ... some regions of its genome are GC-rich, mainly in the regions located near the extreme ends of the chromosomes ... to use GC-rich codons. Here, we address the following question: are highly expressed sequences biased ...

Abstract	Schistosoma mansoni is a parasitic flatworm that causes a human disease called schistosomiasis, or bilharzia. At the genomic level, S. mansoni is AT-rich, but has some compositional heterogeneity. Indeed, some regions of its genome are GC-rich, mainly in the regions located near the extreme ends of the chromosomes. Recently, we showed that, despite the strong bias towards A/T ending codons, highly expressed genes tend to use GC-rich codons. Here, we address the following question: are highly expressed sequences biased in their amino acid frequencies? Our analyses show that these sequences in S. mansoni, as in species ranging from bacteria to human, are strongly biased in nucleotide composition. Highly expressed genes tend to use GC-rich codons (in the first and second codon positions), which code the energetically cheapest amino acids. Therefore, we conclude that amino acid usage, at least in highly expressed genes, is strongly shaped by natural selection to avoid energetically expensive residues. Whether this is an adaptation to the parasitic way of life of S. mansoni, is unclear since the same pattern occurs in free-living species.
MeSH term(s)	Animals ; Humans ; Platyhelminths/genetics ; Schistosoma mansoni/genetics ; Amino Acids/genetics ; Codon ; Bacteria
Chemical Substances	Amino Acids ; Codon
Language	English
Publishing date	2023-07-19
Publishing country	Netherlands
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	756166-0
ISSN	1872-9428 ; 0166-6851
ISSN (online)	1872-9428
ISSN	0166-6851
DOI	10.1016/j.molbiopara.2023.111581
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Article: Public health physician perspectives on developing and deploying clinical practice guidelines during the 2009 H1N1 pandemic.

Bandara, Thilina / Musto, Richard / Kancir, Jesse / Neudorf, Cordell

Healthcare management forum

2020 Volume 33, Issue 4, Page(s) 178–181

Abstract: During the H1N1 outbreak of 2009, local public health units engaged in consultations with various levels of government to develop clinical practice guidelines. These guidelines provide specific clinical considerations around prevention, management, and ... ...

Abstract	During the H1N1 outbreak of 2009, local public health units engaged in consultations with various levels of government to develop clinical practice guidelines. These guidelines provide specific clinical considerations around prevention, management, and treatment associated with the particular pathogen involved and are used by frontline healthcare professionals across many healthcare settings. In this article, we report on the lessons learned by Medical Officers of Health from across Canada on the guideline development and deployment processes and provide suggestions to improve guidelines development and deployment during future pandemic situations.
MeSH term(s)	Canada ; Delivery of Health Care ; Health Planning ; Humans ; Influenza A Virus, H1N1 Subtype ; Influenza, Human ; Leadership ; Pandemics ; Practice Patterns, Physicians' ; Public Health
Language	English
Publishing date	2020-04-06
Publishing country	United States
Document type	Journal Article
ZDB-ID	2140831-2
ISSN	2352-3883 ; 0840-4704
ISSN (online)	2352-3883
ISSN	0840-4704
DOI	10.1177/0840470420917412
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Article ; Online: The Core Competencies for Public Health in Canada: Opportunities and Recommendations for Modernization.

Shephard, Rosemarie / Uy, Justine / Otterman, Victoria / Betker, Claire / Sandhu, Harman S / Tjaden, Lynda / Apatu, Emma / Di Ruggiero, Erica / Musto, Richard / Pawa, Jasmine / Steinberg, Malcolm / Payne, Elspeth / Fang, Lily

Journal of public health management and practice : JPHMP

2024 Volume 30, Issue 3, Page(s) 432–441

Abstract: Context: The 2008 Public Health Agency of Canada's (PHAC's) "Core Competencies for Public Health in Canada" (the "Canadian core competencies") outline the skills, attitudes, and knowledge essential for the practice of public health. The core ... ...

Abstract	Context: The 2008 Public Health Agency of Canada's (PHAC's) "Core Competencies for Public Health in Canada" (the "Canadian core competencies") outline the skills, attitudes, and knowledge essential for the practice of public health. The core competencies represent an important part of public health practice, workforce development, and education in Canada and internationally. However, the core competencies are considered outdated and are facing calls for review, expansion, and revision. Objective: To examine the literature on public health competencies to identify opportunities and recommendations for consideration when reviewing and updating the Canadian core competencies. Methods: This narrative literature review included 4 components: 3 literature searches conducted between 2021 and 2022 using similar search strategies, as well as an analysis of competency frameworks from comparable jurisdictions. The 3 searches were conducted in collaboration with the Health Library to identify core competency-relevant scholarly and gray literature published in English since 2007. Reference lists of sources identified were also reviewed. During the data extraction process, one researcher screened each source, extracted competency-relevant information, and categorized these data into key findings. Results: After identifying 2392 scholarly and gray literature sources, 166 competency-relevant sources were included in the review. Findings from these sources were synthesized into 3 main areas: (1) competency framework methodology and structure; (2) competencies to add; and (3) competencies to modify. Discussion: These findings demonstrate that updates to Canada's core competencies are needed and overdue. Recommendations to support this process include establishing a formal governance structure for the competencies' regular review, revision, and implementation, as well as ensuring that priority topics applicable across all competency categories are integrated as overarching themes. Limitations of the evidence include the potential lack of applicability and generalizability to the Canadian context, as well as biases associated with the narrative literature review methodology.
MeSH term(s)	Humans ; Public Health ; Canada ; Public Health Practice ; Educational Status ; Health Personnel/education
Language	English
Publishing date	2024-04-10
Publishing country	United States
Document type	Review ; Journal Article
ZDB-ID	2027860-3
ISSN	1550-5022 ; 1078-4659
ISSN (online)	1550-5022
ISSN	1078-4659
DOI	10.1097/PHH.0000000000001884
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Article ; Online: Public health: who, what, and why?

Cabaj, Jason L / Musto, Richard / Ghali, William A

Canadian journal of public health = Revue canadienne de sante publique

2019 Volume 110, Issue 3, Page(s) 340–343

Abstract: There has been renewed concern about the state of public health in Canada, with several recent articles in this journal suggesting that the discipline of public health is under threat and that there has been a significant erosion of its core ... ...

Abstract	There has been renewed concern about the state of public health in Canada, with several recent articles in this journal suggesting that the discipline of public health is under threat and that there has been a significant erosion of its core infrastructure. We strongly agree with the need for a well-resourced formal public health system and preservation of capacity to carry out core public health functions, while also positing a complementary narrative that emphasizes the possibility for a broad notion of public health to persevere and thrive in the face of these challenges. We consider what public health is, who public health is, and why public health exists, and suggest that the answers to these questions point to opportunities to strengthen the necessary interdisciplinary approaches that can best address current and future public health concerns.
MeSH term(s)	Canada ; Humans ; Public Health
Language	English
Publishing date	2019-04-12
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	417262-0
ISSN	1920-7476 ; 0008-4263
ISSN (online)	1920-7476
ISSN	0008-4263
DOI	10.17269/s41997-019-00207-2
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Article: Health services restructuring in Alberta and the 2009 pandemic influenza-An untimely concurrence.

Musto, Richard / MacDonald, Judy / Ulrich, Anne / Fonseca, Kevin

Healthcare management forum

2020 Volume 33, Issue 4, Page(s) 170–173

Abstract: In the last 12 years, every Canadian province and territory has undertaken significant health services restructuring, with the pace of change accelerating recently. When the H1N1 Pandemic Influenza (PI) hit Alberta in the spring of 2009, the province had ...

Abstract	In the last 12 years, every Canadian province and territory has undertaken significant health services restructuring, with the pace of change accelerating recently. When the H1N1 Pandemic Influenza (PI) hit Alberta in the spring of 2009, the province had just begun a restructuring of health services of a scale unprecedented in Canada. The new province-wide entity, Alberta Health Services (AHS), was faced with mounting an effective response to a global communicable disease outbreak during a time of great organizational flux. In this retrospective, the authors reflect on challenges and opportunities presented during the AHS PI response related to the coordination of public health, laboratory services, emergency and disaster management, communications, and health services delivery. Lessons learned are shared that may be helpful to other provinces and territories as they continue to evolve their systems, so that they may be better prepared to respond to an untimely event such as a pandemic.
MeSH term(s)	Alberta/epidemiology ; Health Services Administration ; Humans ; Influenza A Virus, H1N1 Subtype ; Influenza, Human/epidemiology ; Organizational Innovation ; Pandemics ; Public Health
Keywords	covid19
Language	English
Publishing date	2020-03-10
Publishing country	United States
Document type	Journal Article
ZDB-ID	2140831-2
ISSN	2352-3883 ; 0840-4704
ISSN (online)	2352-3883
ISSN	0840-4704
DOI	10.1177/0840470420909121
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Article ; Online: Codon Usage Bias: An Endless Tale.

Iriarte, Andrés / Lamolle, Guillermo / Musto, Héctor

Journal of molecular evolution

2021 Volume 89, Issue 9-10, Page(s) 589–593

Abstract: ... that GC- poor species display a general bias towards A/T codons while the reverse is true for GC- rich ...

Abstract	Since the genetic code is degenerate, several codons are translated to the same amino acid. Although these triplets were historically considered to be "synonymous" and therefore expected to be used at rather equal frequencies in all genomes, we now know that this is not the case. Indeed, since several coding sequences were obtained in the late '70s and early '80s in the last century, coming from either the same or different species, it was evident that (a) each genome, taken globally, displayed different codon usage patterns, which means that different genomes display a particular global codon usage table when all genes are considered together, and (b) there is a strong intragenomic diversity: in other words, within a given species the codon usage pattern can (and usually do) differ greatly among genes in the same genome. These different patterns were attributed to two main factors: first, the mutational bias characteristic of each genome, which determines that GC- poor species display a general bias towards A/T codons while the reverse is true for GC- rich species. Second, the differences in codon usage among genes from the same species are due to natural selection acting at the level of translation, in such a way that highly expressed genes tend to use codons that match with the most abundant isoacceptor tRNAs. Thus, these genes are translated at a highest rate, which in turn leads to avoid the limiting factor in translation which is the number of available ribosomes per cell. Although these explanations are still valid, new factors are almost constantly postulated to affect codon usage. In this mini review, we shall try to summarize them.
MeSH term(s)	Codon/genetics ; Codon Usage ; Genetic Code ; RNA, Transfer/genetics ; Selection, Genetic
Chemical Substances	Codon ; RNA, Transfer (9014-25-9)
Language	English
Publishing date	2021-08-12
Publishing country	Germany
Document type	Letter ; Research Support, Non-U.S. Gov't ; Review
ZDB-ID	120148-7
ISSN	1432-1432 ; 0022-2844
ISSN (online)	1432-1432
ISSN	0022-2844
DOI	10.1007/s00239-021-10027-z
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Article: The Governance of Core Competencies for Public Health: A Rapid Review of the Literature.

Sandhu, Harman Singh / Otterman, Victoria / Tjaden, Lynda / Shephard, Rosemarie / Apatu, Emma / Di Ruggiero, Erica / Musto, Richard / Pawa, Jasmine / Steinberg, Malcolm / Betker, Claire

Public health reviews

2023 Volume 44, Page(s) 1606110

Abstract: Core competencies for public health (CCPH) define the knowledge, skills, and attitudes required of a public health workforce. Although numerous sets of CCPH have been established, few studies have systematically examined the governance of competency ... ...

Abstract	Core competencies for public health (CCPH) define the knowledge, skills, and attitudes required of a public health workforce. Although numerous sets of CCPH have been established, few studies have systematically examined the governance of competency development, review, and monitoring, which is critical to their implementation and impact. This rapid review included 42 articles. The findings identified examples of collaboration and community engagement in governing activities (e.g., using the Delphi method to develop CCPH) and different ways of approaching CCPH review and revision (e.g., every 3 years). Insights on monitoring and resource management were scarce. Preliminary lessons emerging from the findings point towards the need for systems, structures, and processes that support ongoing reviews, revisions, and monitoring of CCPH.
Language	English
Publishing date	2023-09-12
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	217531-9
ISSN	2107-6952 ; 0301-0422
ISSN (online)	2107-6952
ISSN	0301-0422
DOI	10.3389/phrs.2023.1606110
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Article ; Online: Amino acid usage and protein expression levels in the flatworm Schistosoma mansoni

Lamolle, Guillermo / Iriarte, Andrés / Simón, Diego / Musto, Héctor

Molecular & Biochemical Parasitology. 2023 July 19, p.111581-

2023 , Page(s) 111581–

Abstract: ... bilharzia. At the genomic level, S. mansoni is AT-rich, but it has some compositional heterogeneity. Indeed ... some regions of its genome are GC-rich, mainly in the regions located near the extreme ends of the chromosomes ... to use GC-rich codons. Here, we address the following question: are highly expressed sequences biased ...

Abstract	Schistosoma mansoni is a parasitic flatworm that causes a human disease called schistosomiasis, or bilharzia. At the genomic level, S. mansoni is AT-rich, but it has some compositional heterogeneity. Indeed, some regions of its genome are GC-rich, mainly in the regions located near the extreme ends of the chromosomes. Recently, we showed that, despite the strong bias towards A/T ending codons, highly expressed genes tend to use GC-rich codons. Here, we address the following question: are highly expressed sequences biased in their amino acid frequencies? Our analyses show that these sequences in S. mansoni, as in species ranging from bacteria to human, are strongly biased in nucleotide composition. Highly expressed genes tend to use GC-rich codons (in the first and second codon positions), which code the energetically cheapest amino acids. Therefore, we conclude that amino acid usage, at least in highly expressed genes, is strongly shaped by natural selection to avoid energetically expensive residues. Whether this is an adaptation to the parasitic way of life of S. mansoni, is unclear since the same pattern occurs in free-living species.
Keywords	Schistosoma mansoni ; amino acids ; codons ; genomics ; human diseases ; humans ; natural selection ; parasitology ; protein synthesis ; schistosomiasis ; CDS ; GC ; amino acid cost ; expression levels ; hydropathy ; neglected tropical disease ; snail fever
Language	English
Dates of publication	2023-0719
Publishing place	Elsevier B.V.
Document type	Article ; Online
Note	Pre-press version
ZDB-ID	756166-0
ISSN	1872-9428 ; 0166-6851
ISSN (online)	1872-9428
ISSN	0166-6851
DOI	10.1016/j.molbiopara.2023.111581
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Guaiane-rich phytochemical profile of Centaurea kotschyi subsp. persica (Boiss.) Wagenitz and identification of hypoglycaemic metabolites.

Serino, Elena / Chianese, Giuseppina / Musto, Giorgia / Zengin, Gökhan / Rigano, Daniela / Stornaiuolo, Mariano / Formisano, Carmen / Taglialatela-Scafati, Orazio

Phytochemistry

2022 Volume 199, Page(s) 113189

Abstract: Phytochemical investigation of the aerial parts obtained from the Turkish plant Centaurea kotschyi subsp. persica led to the isolation of nine sesquiterpene lactones belonging to the guaiane class, including the undescribed kotschyols A and B, a ... ...

Abstract	Phytochemical investigation of the aerial parts obtained from the Turkish plant Centaurea kotschyi subsp. persica led to the isolation of nine sesquiterpene lactones belonging to the guaiane class, including the undescribed kotschyols A and B, a monoterpene lactone (daphnauranin E), four known lignans (matairesinol, matairesinoside, arctiin and arctigenin) and an undescribed dihydrobenzofuran neolignan (4-O-glucosylcrataegifin A). The structures of these compounds were defined by spectroscopic analysis, including ECD and 1D/2D NMR, and chemical conversion. Spurred from the traditional use of C. kotschyi subsp. persica and previous reports on the activity of its extracts, the isolated compounds were evaluated for their hypoglycaemic activity disclosing the bioactive components.
MeSH term(s)	Centaurea/chemistry ; Hypoglycemic Agents/pharmacology ; Lactones/chemistry ; Molecular Structure ; Phytochemicals/analysis ; Plant Components, Aerial/chemistry ; Sesquiterpenes/chemistry ; Sesquiterpenes, Guaiane
Chemical Substances	Hypoglycemic Agents ; Lactones ; Phytochemicals ; Sesquiterpenes ; Sesquiterpenes, Guaiane ; guaiane
Language	English
Publishing date	2022-04-13
Publishing country	England
Document type	Journal Article
ZDB-ID	208884-8
ISSN	1873-3700 ; 0031-9422
ISSN (online)	1873-3700
ISSN	0031-9422
DOI	10.1016/j.phytochem.2022.113189
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Article ; Online: Factors influencing the implementation of integrated management of childhood illness (IMCI) by healthcare workers at public health centers & dispensaries in Mwanza, Tanzania.

Kiplagat, Augustine / Musto, Richard / Mwizamholya, Damas / Morona, Domenica

BMC public health

2014 Volume 14, Page(s) 277

Abstract: Background: Integrated Management of Childhood Illness (IMCI) was developed by the World Health Organization (WHO) and the United Nations International Children's Fund (UNICEF) and aims at reducing childhood morbidity and mortality in resource-limited ... ...

Abstract	Background: Integrated Management of Childhood Illness (IMCI) was developed by the World Health Organization (WHO) and the United Nations International Children's Fund (UNICEF) and aims at reducing childhood morbidity and mortality in resource-limited settings including Tanzania. It was introduced in 1996 and has been scaled up in all districts in the country. The purpose of this study was to identify factors influencing the implementation of IMCI in the health facilities in Mwanza, Tanzania since reports indicates that the guidelines are not full adhered to by the healthcare workers. Methods: A cross-sectional study design was used and a sample size of 95 healthcare workers drawn from health centers and dispensaries within Mwanza city were interviewed using self-administered questionnaires. Structured interview was also used to get views from the city IMCI focal person and the 2 facilitators. Data were analyzed using SPSS and presented using figures and tables. Results: Only 51% of healthcare workers interviewed had been trained. 69% of trained Healthcare workers expressed understanding of the IMCI approach. Most of the respondents (77%) had a positive attitude that IMCI approach was a better approach in managing common childhood illnesses especially with the reality of resource constraint in the health facilities. The main challenges identified in the implementation of IMCI are low initial training coverage among health care workers, lack of essential drugs and supplies, lack of onsite mentoring and lack of refresher courses and regular supportive supervision. Supporting the healthcare workers through training, onsite mentoring, supportive supervision and strengthening the healthcare system through increasing access to essential medicines, vaccines, strengthening supply chain management, increasing healthcare financing, improving leadership & management were the major interventions that could assist in IMCI implementation. Conclusions: The healthcare workers can implement better IMCI through the collaboration of supervisors, IMCI focal person, Council Health Management Teams (CHMT) and other stakeholders interested in child health. However, significant barriers impede a sustainable IMCI implementation. Recommendations have been made related to supportive supervision and HealthCare system strengthening among others.
MeSH term(s)	Attitude of Health Personnel ; Child ; Child Welfare ; Cooperative Behavior ; Cross-Sectional Studies ; Delivery of Health Care, Integrated/organization & administration ; Disease Management ; Health Facilities ; Health Personnel/education ; Humans ; Public Health ; Surveys and Questionnaires ; Tanzania ; World Health Organization
Language	English
Publishing date	2014-03-25
Publishing country	England
Document type	Journal Article
ISSN	1471-2458
ISSN (online)	1471-2458
DOI	10.1186/1471-2458-14-277
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