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Simple, intuitive calculations of free energy of binding for protein-ligand complexes. 3. The free energy contribution of structural water molecules in HIV-1 protease complexes.

Structural water molecules within protein active sites are relevant for ligand-protein recognition because they modify the active site geometry and contribute to binding affinity. In this work an analysis of the interactions between 23 ligands and dimeric HIV-1 protease is reported. The X-ray structures of these complexes show the presence of four types of structural water molecules: water 301 (on the symmetry axis), water 313, water 313bis, and peripheral waters. Except for water 301, these are generally complemented with a symmetry-related set. The GRID program was used both for checking water locations and for placing water molecules that appear to be missing from the complexes due to crystallographic uncertainty. Hydropathic analysis of the energetic contributions using HINT indicates a significant improvement of the correlation between HINT scores and the experimentally determined binding constants when the appropriate bridging water molecules are taken into account. In the absence of water r2 = 0.30 with a standard error of +/- 1.30 kcal mol(-1) and when the energetic contributions of the constrained waters are included r2 = 0.61 with a standard error of +/- 0.98 kcal mol(-1). HINT was shown to be able to map quantitatively the contribution of individual structural waters to binding energy. The order of relevance for the various types of water is water 301 > water 313 > water 313bis > peripheral waters. Thus, to obtain the most reliable free energy predictions, the contributions of structural water molecules should be included. However, care must be taken to include the effects of water molecules that add information value and not just noise.

Binding Sites↗

Counter intuitive relations between in vivo RF lesion size, power, and tip temperature.

BACKGROUND: Radiofrequency (RF) lesion size in vitro is positively correlated with applied power and catheter tip temperature. However, the relation between RF lesion size, power, and tip temperature in vivo remains unclear. We hypothesized that due to flow, anatomy and tip contact effects in vivo, increased tip temperature would be inversely related to applied power and RF lesion size. METHODS: RF lesions were created on the endocardium of 16 pigs using 5, 6, and 7 Fr catheters. The ablation generator was set to achieve a temperature of 70 degrees C. RF lesions were created in different regions of the heart so as to encompass a wide range of blood flow and catheter movement conditions. RF lesions were measured acutely (DIMEN, mm) and correlated with average power applied (POWER, W), and average tip temperature (TEMP, degrees C). The POWER and TEMP relation was also examined. RESULT: For TEMPs below 55 degrees C, the power output from the generator was typically maximized at 50 W. At TEMPs above 55 degrees C, POWER decreased exponentially with increasing TEMP (POWER = 50 - exp(-((41-TEMP)/7)), r = 0.98, p < 0.05). Further, DIMEN tended to be inversely related to TEMP (Slope: -0.07 +/- 0.04, r = -0.15, p = 0.07); but, was positively related to POWER (Slope: 0.04 +/- 0.02, r = 0.23, p < 0.05). These relations varied by tip size and estimated local blood flow characteristics. CONCLUSION: In vivo, variable tissue contact and flow yield DIMEN-POWER-TEMP relations opposite to those found in vitro. These counterintuitive results suggest that maximum in vivo RF lesion size is achieved when power is maximized at tip temperatures between 50 and 60 degrees C.

Animals↗

[Intuitive work. Influencing feelings of residents and patients in inpatient and ambulatory geriatric nursing].

The concept of sentimental work by Strauss and collaborators is presented and investigated empirically within the fields of home and out-patient geriatric care by means of questionnaires. The results illustrate that sentimental work is an important component of nursing work. Differences in the use of distinct types of sentimental work are shown. A comparison between sentimental work in home and out-patient geriatric care reveals similarities as well as typical differences.

Adaptation, Psychological↗

Intuitive interactionism in person perception: effects of situation--behavior relations on dispositional judgments.

To examine the effects of the relationships between behavior and the situation in which it occurs, we manipulated such relations and exposed subjects to them. Impressions were similar when based on the behaviors presented with situations unspecified (e.g., child hits) or when the situations in which they naturally occurred were specified (e.g., child hits when provoked). However, when situations were specified, subjects' impressions more accurately predicted individual differences in the children's actual levels of overall aggressive behavior. When the veridical situation-behavior relations were increasingly altered, the targets were perceived as being less plausible and increasingly maladjusted and odd, and correlations decreased between the perceived level of the children's aggressiveness and their actual aggressive behavior. Thus, both personality impressions and predictive accuracy were influenced by the relations between the target's behaviors and their situational contexts.

Aggression↗

Conflict between intuitive and rational processing: when people behave against their better judgment.

When offered an opportunity to win $1 on every "win" trial in which they drew a red jelly bean, subjects frequently elected to draw from a bowl that contained a greater absolute number, but a smaller proportion, of red beans (e.g., 7 in 100) than from a bowl with fewer red beans but better odds (e.g., 1 in 10). Subjects reported that although they knew the probabilities were against them, they felt they had a better chance when there were more red beans. Similar, but less extreme results were obtained on "lose" trials, where drawing a red bean meant losing $1. These results were predicted from the concretive and experiential principles of cognitive-experiential self-theory. Nonoptimal choices in the laboratory were significantly correlated with heuristic responses to relevant vignettes and with self-reported gambling in real life.

Adult↗

Intuitive physics: the straight-down belief and its origin.

This study examines the nature and origin of a common misconception about moving objects. We first show through the use of pencil-and-paper problems that many people erroneously believe that an object that is carried by another moving object (e.g., a ball carried by a walking person) will, if dropped, fall to the ground in a straight vertical line. (In fact, such an object will fall forward in a parabolic arc.) We then demonstrate that this "straight-down belief" turns up not only on pencil-and-paper problems but also on a problem presented in a concrete, dynamic fashion (Experiment 1) and in a situation in which a subject drops a ball while walking (Experiment 2). We next consider the origin of the straight-down belief and propose that the belief may stem from a perceptual illusion. Specifically, we suggest that objects dropped from a moving carrier may be perceived as falling straight down or even backward, when in fact they move forward as they fall. Experiment 3, in which subjects view computer-generated displays simulating situations in which a carried object is dropped, and Experiment 4, in which subjects view a videotape of a walking person dropping an object, provide data consistent with this "seeing is believing" hypothesis.

Cognition↗

Explaining counter-intuitive clinical outcomes predicted by Kt/V.

Population-based studies of maintenance hemodialysis patients have demonstrated a reproducible relationship between the dose of hemodialysis and mortality and morbidity outcomes. In these analyses, which have aggregated hemodialysis patient subgroups, improved outcomes are associated with greater doses of hemodialysis. However, remarkable counterintuitive findings are observed if patients are analyzed by subgroups based on their race, gender, and anthropometric and blood-based biomarkers of nutritional state. For example, blacks generally receive lower doses of hemodialysis than whites, but enjoy relatively improved survival; patients who receive the highest doses of hemodialysis have an increased death risk; and the dose response curve between hemodialysis and survival is altered based on the patients' body mass index. These seemingly paradoxical relationships between hemodialysis dose and patient survival can be explained because of the use of mathematical urea kinetic constructs as clinical outcome predictors; they integrate a measure of solute removal (K x t) with an anthropometric surrogate of nutrition, the urea distribution volume (V). Both these measures have an independent influence on patient survival and in some clinical circumstances are of unequal power as clinical outcome predictors. These complex interactions must be kept in perspective as clinical care is delivered in the context of hemodialysis dose.

Humans↗

The equivalence of contingency structure for intuitive covariation judgments about height, weight, and body fat.

In a complete between-subjects design, 576 respondents judged covariations of problems framed around height, weight, and body fat. A verbal measure was used, consisting of propositional statements representing relationships between two of the variables, as well as two types of response options: true or false, and a 7-point, bipolar, Likert-type scale. Consistent with previous findings, weight and body fat were unambiguously judged as if positively correlated; there were indications of a perceived negative correlation of height and body fat; and there was no evidence that participants regarded height and weight as positively correlated. Furthermore, there was no reliable evidence in support of framing effects. However, there were indications of influence for conditional format. These findings are discussed relative to previous and ongoing research efforts, and it is concluded that it may be inappropriate to regard variations in conditional format as parallel items. Measures involving all possible variations are considered fundamentally unbiased and consistent with I. Ajzen's (1988) principle of aggregation.

Adult↗

Deflectable and rotatable endoscopic instrument with intuitive control.

The problem of steering endoscopic instruments is one of the main limitations of minimally invasive surgery. Some manufacturers have developed sophisticated deflectable instruments recently, either for conventional laparoscopic surgery or for telemanipulators. The complexity of these instruments results in high cost, and difficult cleaning and sterilisation. We present a new concept of endoscopic instrument with multiple degrees of freedom, based on a miniaturised spheric articulation that can be manipulated by a single control wheel. This concept has allowed the development of a 5.5 mm instrument that can be disassembled and autoclaved. The main features of this new instrument are presented in this article.

Journal Article↗