rt Smart Phones, Watches Can Mess With Implanted Pacemakers By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Smart Phones, Watches Can Mess With Implanted PacemakersCategory: Health NewsCreated: 8/26/2021 12:00:00 AMLast Editorial Review: 8/26/2021 12:00:00 AM Full Article
rt Record High COVID Cases and Deaths Reported in Florida By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Record High COVID Cases and Deaths Reported in FloridaCategory: Health NewsCreated: 8/26/2021 12:00:00 AMLast Editorial Review: 8/26/2021 12:00:00 AM Full Article
rt Long COVID, Big Bills: Grim Legacy of Even Short Hospital Stays By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Long COVID, Big Bills: Grim Legacy of Even Short Hospital StaysCategory: Health NewsCreated: 8/25/2021 12:00:00 AMLast Editorial Review: 8/26/2021 12:00:00 AM Full Article
rt Pentagon Says Troops Must Start Lining Up Now for COVID Shots By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Pentagon Says Troops Must Start Lining Up Now for COVID ShotsCategory: Health NewsCreated: 8/25/2021 12:00:00 AMLast Editorial Review: 8/26/2021 12:00:00 AM Full Article
rt More Evidence Ties Gum Disease With Heart Disease By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: More Evidence Ties Gum Disease With Heart DiseaseCategory: Health NewsCreated: 8/27/2021 12:00:00 AMLast Editorial Review: 8/27/2021 12:00:00 AM Full Article
rt Half of American Workers Support COVID Vaccination, Mask Mandates in Workplace By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Half of American Workers Support COVID Vaccination, Mask Mandates in WorkplaceCategory: Health NewsCreated: 8/27/2021 12:00:00 AMLast Editorial Review: 8/27/2021 12:00:00 AM Full Article
rt AHA News: What Goes Into a Mediterranean Diet, and How to Get Started By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: AHA News: What Goes Into a Mediterranean Diet, and How to Get StartedCategory: Health NewsCreated: 8/23/2022 12:00:00 AMLast Editorial Review: 8/23/2022 12:00:00 AM Full Article
rt COVID Incubation Shorter With Each New Variant By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: COVID Incubation Shorter With Each New VariantCategory: Health NewsCreated: 8/23/2022 12:00:00 AMLast Editorial Review: 8/23/2022 12:00:00 AM Full Article
rt 11 Home Remedies for Rheumatoid Arthritis By www.medicinenet.com Published On :: Tue, 2 Aug 2022 00:00:00 PDT Title: 11 Home Remedies for Rheumatoid Arthritis Category: Diseases and ConditionsCreated: 12/7/2020 12:00:00 AMLast Editorial Review: 8/2/2022 12:00:00 AM Full Article
rt Medical Marijuana for Pain Is Linked to Slight Rise in Heart Trouble By www.medicinenet.com Published On :: Tue, 23 Aug 2022 00:00:00 PDT Title: Medical Marijuana for Pain Is Linked to Slight Rise in Heart TroubleCategory: Health NewsCreated: 8/23/2022 12:00:00 AMLast Editorial Review: 8/23/2022 12:00:00 AM Full Article
rt Premature Birth Tied to Higher Risk for ADHD By www.medicinenet.com Published On :: Tue, 16 Aug 2022 00:00:00 PDT Title: Premature Birth Tied to Higher Risk for ADHDCategory: Health NewsCreated: 8/16/2022 12:00:00 AMLast Editorial Review: 8/16/2022 12:00:00 AM Full Article
rt Family History of Mental Illness Ups Odds for Postpartum Depression By www.medicinenet.com Published On :: Tue, 23 Aug 2022 00:00:00 PDT Title: Family History of Mental Illness Ups Odds for Postpartum DepressionCategory: Health NewsCreated: 8/22/2022 12:00:00 AMLast Editorial Review: 8/23/2022 12:00:00 AM Full Article
rt Gout Flare-Ups Could Raise Heart Risk for Weeks After By www.medicinenet.com Published On :: Thu, 4 Aug 2022 00:00:00 PDT Title: Gout Flare-Ups Could Raise Heart Risk for Weeks AfterCategory: Health NewsCreated: 8/3/2022 12:00:00 AMLast Editorial Review: 8/4/2022 12:00:00 AM Full Article
rt Osteoarthritis (OA) By www.medicinenet.com Published On :: Fri, 12 Aug 2022 00:00:00 PDT Title: Osteoarthritis (OA)Category: Diseases and ConditionsCreated: 12/31/1997 12:00:00 AMLast Editorial Review: 8/12/2022 12:00:00 AM Full Article
rt AHA News: Obstacles Didn't Stop This Heart Defect Survivor From Competing on 'American Ninja Warrior By www.medicinenet.com Published On :: Mon, 15 Aug 2022 00:00:00 PDT Title: AHA News: Obstacles Didn't Stop This Heart Defect Survivor From Competing on 'American Ninja WarriorCategory: Health NewsCreated: 8/12/2022 12:00:00 AMLast Editorial Review: 8/15/2022 12:00:00 AM Full Article
rt Can Your Smartphone Spot a Narrowed Neck Artery? By www.medicinenet.com Published On :: Wed, 17 Aug 2022 00:00:00 PDT Title: Can Your Smartphone Spot a Narrowed Neck Artery?Category: Health NewsCreated: 8/17/2022 12:00:00 AMLast Editorial Review: 8/17/2022 12:00:00 AM Full Article
rt Having Ideal Heart Health May Lessen the Risk for Brain Vessel Disease By www.medicinenet.com Published On :: Thu, 18 Aug 2022 00:00:00 PDT Title: Having Ideal Heart Health May Lessen the Risk for Brain Vessel DiseaseCategory: Health NewsCreated: 8/17/2022 12:00:00 AMLast Editorial Review: 8/18/2022 12:00:00 AM Full Article
rt AHA News: New Report Details What to Know About Cardiovascular Disease Symptoms By www.medicinenet.com Published On :: Fri, 19 Aug 2022 00:00:00 PDT Title: AHA News: New Report Details What to Know About Cardiovascular Disease SymptomsCategory: Health NewsCreated: 8/18/2022 12:00:00 AMLast Editorial Review: 8/19/2022 12:00:00 AM Full Article
rt What Are the 4 Stages of Congestive Heart Failure? By www.medicinenet.com Published On :: Fri, 26 Aug 2022 00:00:00 PDT Title: What Are the 4 Stages of Congestive Heart Failure?Category: Diseases and ConditionsCreated: 6/24/2020 12:00:00 AMLast Editorial Review: 8/26/2022 12:00:00 AM Full Article
rt What Causes Congestive Heart Failure? By www.medicinenet.com Published On :: Fri, 26 Aug 2022 00:00:00 PDT Title: What Causes Congestive Heart Failure?Category: Diseases and ConditionsCreated: 6/12/2020 12:00:00 AMLast Editorial Review: 8/26/2022 12:00:00 AM Full Article
rt Congestive Heart Failure (CHF) By www.medicinenet.com Published On :: Fri, 26 Aug 2022 00:00:00 PDT Title: Congestive Heart Failure (CHF)Category: Diseases and ConditionsCreated: 12/31/1997 12:00:00 AMLast Editorial Review: 8/26/2022 12:00:00 AM Full Article
rt When Do Babies Start Teething? By www.medicinenet.com Published On :: Tue, 23 Aug 2022 00:00:00 PDT Title: When Do Babies Start Teething?Category: Diseases and ConditionsCreated: 12/2/2021 12:00:00 AMLast Editorial Review: 8/23/2022 12:00:00 AM Full Article
rt Smoking Can Really Weaken the Heart By www.medicinenet.com Published On :: Sat, 27 Aug 2022 00:00:00 PDT Title: Smoking Can Really Weaken the HeartCategory: Health NewsCreated: 8/26/2022 12:00:00 AMLast Editorial Review: 8/26/2022 12:00:00 AM Full Article
rt Scientists Create Synthetic Mouse Embryo With Brain, Beating Heart By www.medicinenet.com Published On :: Sat, 27 Aug 2022 00:00:00 PDT Title: Scientists Create Synthetic Mouse Embryo With Brain, Beating HeartCategory: Health NewsCreated: 8/26/2022 12:00:00 AMLast Editorial Review: 8/26/2022 12:00:00 AM Full Article
rt Certain Painkillers Raise Heart Failure Risk in People With Type 2 Diabetes By www.medicinenet.com Published On :: Wed, 24 Aug 2022 00:00:00 PDT Title: Certain Painkillers Raise Heart Failure Risk in People With Type 2 DiabetesCategory: Health NewsCreated: 8/24/2022 12:00:00 AMLast Editorial Review: 8/24/2022 12:00:00 AM Full Article
rt Abnormal Upper Heart Chamber May Boost Dementia Risk By www.medicinenet.com Published On :: Wed, 10 Aug 2022 00:00:00 PDT Title: Abnormal Upper Heart Chamber May Boost Dementia RiskCategory: Health NewsCreated: 8/10/2022 12:00:00 AMLast Editorial Review: 8/10/2022 12:00:00 AM Full Article
rt New Reports on Polio: How Worried Should We Be? By www.medicinenet.com Published On :: Tue, 16 Aug 2022 00:00:00 PDT Title: New Reports on Polio: How Worried Should We Be?Category: Health NewsCreated: 8/15/2022 12:00:00 AMLast Editorial Review: 8/16/2022 12:00:00 AM Full Article
rt More Athletes Are Getting Their Nutrition Through an IV. This Should Stop, Experts Say By www.medicinenet.com Published On :: Thu, 18 Aug 2022 00:00:00 PDT Title: More Athletes Are Getting Their Nutrition Through an IV. This Should Stop, Experts SayCategory: Health NewsCreated: 8/17/2022 12:00:00 AMLast Editorial Review: 8/18/2022 12:00:00 AM Full Article
rt Summer Bug Bite? Expert Gives Answers on Care By www.medicinenet.com Published On :: Mon, 1 Aug 2022 00:00:00 PDT Title: Summer Bug Bite? Expert Gives Answers on CareCategory: Health NewsCreated: 7/30/2022 12:00:00 AMLast Editorial Review: 8/1/2022 12:00:00 AM Full Article
rt What Are the Main Parts of the Male Reproductive System? By www.medicinenet.com Published On :: Thu, 7 Jul 2022 00:00:00 PDT Title: What Are the Main Parts of the Male Reproductive System?Category: Diseases and ConditionsCreated: 7/7/2022 12:00:00 AMLast Editorial Review: 7/7/2022 12:00:00 AM Full Article
rt How Did AIDS Start? By www.medicinenet.com Published On :: Fri, 3 Jun 2022 00:00:00 PDT Title: How Did AIDS Start?Category: Diseases and ConditionsCreated: 6/3/2022 12:00:00 AMLast Editorial Review: 6/3/2022 12:00:00 AM Full Article
rt Early Menopause Could Mean More Heart Trouble Later By www.medicinenet.com Published On :: Mon, 8 Aug 2022 00:00:00 PDT Title: Early Menopause Could Mean More Heart Trouble LaterCategory: Health NewsCreated: 8/8/2022 12:00:00 AMLast Editorial Review: 8/8/2022 12:00:00 AM Full Article
rt Shorter Menstrual Cycles May Affect Timing of Menopause By www.medicinenet.com Published On :: Thu, 25 Aug 2022 00:00:00 PDT Title: Shorter Menstrual Cycles May Affect Timing of MenopauseCategory: Health NewsCreated: 8/25/2022 12:00:00 AMLast Editorial Review: 8/25/2022 12:00:00 AM Full Article
rt High Blood Pressure Drugs (Hypertension) By www.medicinenet.com Published On :: Fri, 1 Jul 2022 00:00:00 PDT Title: High Blood Pressure Drugs (Hypertension)Category: MedicationsCreated: 8/16/2006 12:00:00 AMLast Editorial Review: 7/1/2022 12:00:00 AM Full Article
rt Are High-Tech Blood Pressure Monitors Really Worth It? By www.medicinenet.com Published On :: Tue, 16 Aug 2022 00:00:00 PDT Title: Are High-Tech Blood Pressure Monitors Really Worth It?Category: Health NewsCreated: 8/16/2022 12:00:00 AMLast Editorial Review: 8/16/2022 12:00:00 AM Full Article
rt When Should I Start Cleaning My Baby’s Mouth? By www.medicinenet.com Published On :: Thu, 11 Aug 2022 00:00:00 PDT Title: When Should I Start Cleaning My Baby’s Mouth?Category: Diseases and ConditionsCreated: 11/9/2020 12:00:00 AMLast Editorial Review: 8/11/2022 12:00:00 AM Full Article
rt There's More MS in Northern Countries. Now, Researchers Find New Reason Why By www.medicinenet.com Published On :: Thu, 25 Aug 2022 00:00:00 PDT Title: There's More MS in Northern Countries. Now, Researchers Find New Reason WhyCategory: Health NewsCreated: 8/25/2022 12:00:00 AMLast Editorial Review: 8/25/2022 12:00:00 AM Full Article
rt Vaginal or C-Section, Method of Childbirth Won't Affect a Couple's Sex Life Later By www.medicinenet.com Published On :: Thu, 25 Aug 2022 00:00:00 PDT Title: Vaginal or C-Section, Method of Childbirth Won't Affect a Couple's Sex Life LaterCategory: Health NewsCreated: 8/24/2022 12:00:00 AMLast Editorial Review: 8/25/2022 12:00:00 AM Full Article
rt 'Virtual' Museum Visits Are Good Medicine for Seniors By www.medicinenet.com Published On :: Tue, 16 Aug 2022 00:00:00 PDT Title: 'Virtual' Museum Visits Are Good Medicine for SeniorsCategory: Health NewsCreated: 8/16/2022 12:00:00 AMLast Editorial Review: 8/16/2022 12:00:00 AM Full Article
rt Steps to Long Life: Short Walk Each Day Helps Folks Over 85 By www.medicinenet.com Published On :: Thu, 25 Aug 2022 00:00:00 PDT Title: Steps to Long Life: Short Walk Each Day Helps Folks Over 85Category: Health NewsCreated: 8/25/2022 12:00:00 AMLast Editorial Review: 8/25/2022 12:00:00 AM Full Article
rt Get Moving! Any Sports Can Lower Seniors' Odds of Early Death By www.medicinenet.com Published On :: Fri, 26 Aug 2022 00:00:00 PDT Title: Get Moving! Any Sports Can Lower Seniors' Odds of Early DeathCategory: Health NewsCreated: 8/25/2022 12:00:00 AMLast Editorial Review: 8/26/2022 12:00:00 AM Full Article
rt Postpartum Depression Can Hit Both Mom & Dad, Sometimes at Same Time By www.medicinenet.com Published On :: Tue, 28 Jun 2022 00:00:00 PDT Title: Postpartum Depression Can Hit Both Mom & Dad, Sometimes at Same TimeCategory: Health NewsCreated: 6/27/2022 12:00:00 AMLast Editorial Review: 6/28/2022 12:00:00 AM Full Article
rt Treating central sleep apnoea in heart failure: progressing one step at a time By err.ersjournals.com Published On :: 2024-10-30T01:30:15-07:00 Extract We read with great interest the correspondence by T. Bitter and co-workers in the European Respiratory Review, about our recently published review entitled "Central sleep apnoea: not just one phenotype" [1]. We first want to express our gratefulness to the authors for their support and appreciation of our work, particularly regarding the urgent need for an increasingly differentiated view of central sleep apnoea (CSA) in the context of precision medicine. Full Article
rt Treating central sleep apnoea in heart failure: is positive airway pressure and adaptive servo-ventilation in particular the gold standard? By err.ersjournals.com Published On :: 2024-10-30T01:30:15-07:00 Extract We read with great interest the review article by Randerath et al. [1] recently published in the European Respiratory Review. We would like to congratulate the authors on this clearly structured review, which emphasises the urgent need for an increasingly differentiated view of central sleep apnoea (CSA) in the context of precision medicine. Full Article
rt Noninvasive diagnostic modalities and prediction models for detecting pulmonary hypertension associated with interstitial lung disease: a narrative review By err.ersjournals.com Published On :: 2024-10-09T00:15:15-07:00 Pulmonary hypertension (PH) is highly prevalent in patients with interstitial lung disease (ILD) and is associated with increased morbidity and mortality. Widely available noninvasive screening tools are warranted to identify patients at risk for PH, especially severe PH, that could be managed at expert centres. This review summarises current evidence on noninvasive diagnostic modalities and prediction models for the timely detection of PH in patients with ILD. It critically evaluates these approaches and discusses future perspectives in the field. A comprehensive literature search was carried out in PubMed and Scopus, identifying 39 articles that fulfilled inclusion criteria. There is currently no single noninvasive test capable of accurately detecting and diagnosing PH in ILD patients. Estimated right ventricular pressure (RVSP) on Doppler echocardiography remains the single most predictive factor of PH, with other indirect echocardiographic markers increasing its diagnostic accuracy. However, RVSP can be difficult to estimate in patients due to suboptimal views from extensive lung disease. The majority of existing composite scores, including variables obtained from chest computed tomography, pulmonary function tests and cardiopulmonary exercise tests, were derived from retrospective studies, whilst lacking validation in external cohorts. Only two available scores, one based on a stepwise echocardiographic approach and the other on functional parameters, predicted the presence of PH with sufficient accuracy and used a validation cohort. Although several methodological limitations prohibit their generalisability, their use may help physicians to detect PH earlier. Further research on the potential of artificial intelligence may guide a more tailored approach, for timely PH diagnosis. Full Article
rt Contrasting and combining transcriptome complexity captured by short and long RNA sequencing reads [METHODS] By genome.cshlp.org Published On :: 2024-10-29T06:46:08-07:00 Mapping transcriptomic variations using either short- or long-read RNA sequencing is a staple of genomic research. Long reads are able to capture entire isoforms and overcome repetitive regions, whereas short reads still provide improved coverage and error rates. Yet, open questions remain, such as how to quantitatively compare the technologies, can we combine them, and what is the benefit of such a combined view? We tackle these questions by first creating a pipeline to assess matched long- and short-read data using a variety of transcriptome statistics. We find that across data sets, algorithms, and technologies, matched short-read data detects ~30% more splice junctions, such that ~10%–30% of the splice junctions included at ≥20% by short reads are missed by long reads. In contrast, long reads detect many more intron-retention events and can detect full isoforms, pointing to the benefit of combining the technologies. We introduce MAJIQ-L, an extension of the MAJIQ software, to enable a unified view of transcriptome variations from both technologies and demonstrate its benefits. Our software can be used to assess any future long-read technology or algorithm and can be combined with short-read data for improved transcriptome analysis. Full Article
rt Systematic identification of interchromosomal interaction networks supports the existence of specialized RNA factories [METHODS] By genome.cshlp.org Published On :: 2024-10-29T06:46:08-07:00 Most studies of genome organization have focused on intrachromosomal (cis) contacts because they harbor key features such as DNA loops and topologically associating domains. Interchromosomal (trans) contacts have received much less attention, and tools for interrogating potential biologically relevant trans structures are lacking. Here, we develop a computational framework that uses Hi-C data to identify sets of loci that jointly interact in trans. This method, trans-C, initiates probabilistic random walks with restarts from a set of seed loci to traverse an input Hi-C contact network, thereby identifying sets of trans-contacting loci. We validate trans-C in three increasingly complex models of established trans contacts: the Plasmodium falciparum var genes, the mouse olfactory receptor "Greek islands," and the human RBM20 cardiac splicing factory. We then apply trans-C to systematically test the hypothesis that genes coregulated by the same trans-acting element (i.e., a transcription or splicing factor) colocalize in three dimensions to form "RNA factories" that maximize the efficiency and accuracy of RNA biogenesis. We find that many loci with multiple binding sites of the same DNA-binding proteins interact with one another in trans, especially those bound by factors with intrinsically disordered domains. Similarly, clustered binding of a subset of RNA-binding proteins correlates with trans interaction of the encoding loci. We observe that these trans-interacting loci are close to nuclear speckles. These findings support the existence of trans-interacting chromatin domains (TIDs) driven by RNA biogenesis. Trans-C provides an efficient computational framework for studying these and other types of trans interactions, empowering studies of a poorly understood aspect of genome architecture. Full Article
rt De novo genome assemblies of two cryptodiran turtles with ZZ/ZW and XX/XY sex chromosomes provide insights into patterns of genome reshuffling and uncover novel 3D genome folding in amniotes [RESEARCH] By genome.cshlp.org Published On :: 2024-10-29T06:46:07-07:00 Understanding the evolution of chromatin conformation among species is fundamental to elucidate the architecture and plasticity of genomes. Nonrandom interactions of linearly distant loci regulate gene function in species-specific patterns, affecting genome function, evolution, and, ultimately, speciation. Yet, data from nonmodel organisms are scarce. To capture the macroevolutionary diversity of vertebrate chromatin conformation, here we generate de novo genome assemblies for two cryptodiran (hidden-neck) turtles via Illumina sequencing, chromosome conformation capture, and RNA-seq: Apalone spinifera (ZZ/ZW, 2n = 66) and Staurotypus triporcatus (XX/XY, 2n = 54). We detected differences in the three-dimensional (3D) chromatin structure in turtles compared to other amniotes beyond the fusion/fission events detected in the linear genomes. Namely, whole-genome comparisons revealed distinct trends of chromosome rearrangements in turtles: (1) a low rate of genome reshuffling in Apalone (Trionychidae) whose karyotype is highly conserved when compared to chicken (likely ancestral for turtles), and (2) a moderate rate of fusions/fissions in Staurotypus (Kinosternidae) and Trachemys scripta (Emydidae). Furthermore, we identified a chromosome folding pattern that enables "centromere–telomere interactions" previously undetected in turtles. The combined turtle pattern of "centromere–telomere interactions" (discovered here) plus "centromere clustering" (previously reported in sauropsids) is novel for amniotes and it counters previous hypotheses about amniote 3D chromatin structure. We hypothesize that the divergent pattern found in turtles originated from an amniote ancestral state defined by a nuclear configuration with extensive associations among microchromosomes that were preserved upon the reshuffling of the linear genome. Full Article
rt Mutational scanning of CRX classifies clinical variants and reveals biochemical properties of the transcriptional effector domain [RESEARCH] By genome.cshlp.org Published On :: 2024-10-29T06:46:07-07:00 The transcription factor (TF) cone-rod homeobox (CRX) is essential for the differentiation and maintenance of photoreceptor cell identity. Several human CRX variants cause degenerative retinopathies, but most are variants of uncertain significance. We performed a deep mutational scan (DMS) of nearly all possible single amino acid substitutions in CRX using a cell-based transcriptional reporter assay, curating a high-confidence list of nearly 2000 variants with altered transcriptional activity. In the structured homeodomain, activity scores closely aligned to a predicted structure and demonstrated position-specific constraints on amino acid substitution. In contrast, the intrinsically disordered transcriptional effector domain displayed a qualitatively different pattern of substitution effects, following compositional constraints without specific residue position requirements in the peptide chain. These compositional constraints were consistent with the acidic exposure model of transcriptional activation. We evaluated the performance of the DMS assay as a clinical variant classification tool using gold-standard classified human variants from ClinVar, identifying pathogenic variants with high specificity and moderate sensitivity. That this performance could be achieved using a synthetic reporter assay in a foreign cell type, even for a highly cell type-specific TF like CRX, suggests that this approach shows promise for DMS of other TFs that function in cell types that are not easily accessible. Together, the results of the CRX DMS identify molecular features of the CRX effector domain and demonstrate utility for integration into the clinical variant classification pipeline. Full Article
rt Only One Quarter of Family Physicians Are Very Satisfied with Their Electronic Health Records Platform By www.jabfm.org Published On :: 2024-10-25T09:26:14-07:00 Two decades into the era of Electronic Health Records (EHRs), the promise of streamlining clinical care, reducing burden, and improving patient outcomes has yet to be realized. A cross-sectional family physician census conducted by the American Board of Family Medicine in 2022 and 2023 included self-reported physician EHR satisfaction. Of the nearly 10,000 responding family physicians, only one-in-four (26.2%) report being very satisfied and one-in-three (33.8%) were not satisfied. These low levels of satisfaction point to the need for greater transparency in the marketplace and pressure to increase user-centric EHR design. Full Article