In the present study, random amplified polymorphic DNA (RAPD) ana

In the present study, random amplified polymorphic DNA (RAPD) analysis coupled with microchip electrophoresis was applied for this purpose. Evaluations of the analysis stability revealed that reproducible results could be obtained, although template DNA fragmentation could influence the resulting RAPD pattern.

RAPD analysis using 15 Monascus strains consisting of four species, M. ruber, M. pilosus, M. purpureus, and M. kaoliang showed that each strain generated a unique RAPD pattern, which allows strain-level identification of Monascus. In addition, the phylogenetic tree constructed from RAPD patterns reflected M. ruber-M. pilosus and M. purpureus-M. kaoliang clusters inferred from both ITS and beta-tubulin gene sequences, which indicated that the RAPD pattern selleck products could reflect their phylogenetic traits learn more to a certain extent. On the other hand, RAPD analysis did not support the monophyletic clustering of the four Monascus species used in this study, which suggests the necessity of reexamination of species boundaries in Monascus.”
“The changing outcomes for young cystic fibrosis (CF) patients means

that reproductive health issues have become an integral part of CF management.\n\nThe aim of this study was to investigate the knowledge and experiences of reproductive and sexual health issues in women with CF and to investigate the knowledge and reproductive health attitudes of their parents.\n\nAssessment of reproductive and sexual health knowledge in female CF patients and their parents.\n\nA questionnaire study directed to 120 Polish women with CF aged 16 years and older and their parents.\n\nSixty-four patients and their parents responded to the questionnaire. Sixty-eight percent of the patients started sexual intercourse at a mean age of 19.2 years. Eighty-four percent of all sexually active women reported that they did not use any form of contraception. Only 32.8% of women understood

the problems connected with their own and male fertility in CF. Popular scientific publications and other CF patients were identified as the most important source of information. Only 23% of parents understood the problems connected with female fertility in CF; 44% of parents thought that man with CF SYN-117 had normal fertility. Seventy-five percent of the women and 40% of the parents felt that sexual health discussions should begin between age 12 and 14 years with a CF doctor and the mother.\n\nOur study showed that significant knowledge gaps exist regarding fertility issues in both CF patients and CF parents. Women with CF have some general knowledge about sexual issues but insufficient knowledge to have a safe sexual life. The results helped us to develop the educational program for CF patients. Korzeniewska A, Grzelewski T, Jerzynska J, Majak P, Soloniewicz A, Stelmach W, and Stelmach I.

This survey shows that among the surveyed female medical empl

\n\nThis survey shows that among the surveyed female medical employees the transvaginal approach is associated with concerns and fears but these are not justifiable, as the transvaginal access

has been used for more than 100 years for gynecological purposes. GSK1904529A mouse There is a strong need for outcome data to enlighten female patients and to help guide physicians when talking to patients regarding NOS and the transvaginal approach.”
“The effect of severe plastic deformation on the deuterium retention in tungsten exposed to high-flux low-energy plasma (flux similar to 10(24) D/m(2)/s, energy similar to 50 eV, and fluence up to 3 x 10(26) D/m(2)) at the plasma generator Pilot-PSI was studied by thermal desorption spectroscopy and scanning electron microscopy. The desorption spectra in both reference and plastically deformed samples were deconvolved into three contributions attributed to the detrapping from dislocations, deuterium-vacancy clusters, and pores, respectively. The plastically induced deformation, resulting in high dislocation density, does not change the positions of the three peaks, but alters their amplitudes as compared

to the reference Lonafarnib material. The appearance of blisters detected by scanning electron microscopy and the desorption peak attributed to the release from pores (i. e., deuterium bubbles) were suppressed in the plastically deformed samples but only up to a certain fluence. Beyond 5 x 10(25) D/m(2), the release from the bubbles in the deformed material is essentially higher than in the reference material. Based on the presented results, we suggest that a dense dislocation network increases the incubation dose needed for the appearance of blisters, associated with deuterium bubbles, by offering numerous nucleation sites for deuterium clusters eventually transforming into deuterium-vacancy clusters by punching

out jogs on dislocation lines. (C) 2015 AIP Publishing LLC.”
“Leptospirosis is a widespread zoonotic infection characterized Barasertib price by acute febrile illness. Severely ill patients may require empiric treatment with broad-spectrum antibiotics prior to definitive diagnosis. We evaluated the efficacy of minocycline and tigecycline against leptospirosis in a hamster model. Hamsters were treated with either minocycline (5, 10, or 25 mg/kg per day) or tigecycline (5, 10, or 25 mg/kg per day) for 5 days. Controls included untreated animals and doxycycline-treated animals (5 mg/kg per day). Nine days after infection, all untreated animals were dead. All treated hamsters survived to the end of study (day 21). Study groups showed significantly improved survival compared to the untreated group (P < .01). Minocycline and tigecycline showed survival benefit comparable to the standard treatment, doxycycline. In the absence of doxycycline, minocycline may be considered as an alternative, while tigecycline may be useful in the management of severely ill patients prior to a definitive diagnosis.

e omissions, additions and substitutions) All errors were indep

e. omissions, additions and substitutions). All errors were independently rated by a senior psychiatrist and a senior clinical psychologist to determine whether the errors were likely to have a bearing on clinical decisions concerning the patient and to rate whether errors deemed clinically

significant contributed to making the patient appear more ill psychiatrically, or less ill. Of the 57 errors recorded, 46% were rated as likely to have an impact on the goal of the clinical session. Raters concurred that the clinically significant errors contributed towards potentially making the patient look more psychiatrically ill. Detailed analyses of evaluations demonstrate the complexity of informal interpreter positioning regarding Selleckchem MK 2206 issues of diagnosis and cultural factors in illness. Evaluations conducted where clinicians and interpreters are not trained in language and interpreting issues may create a distorted picture of the patients’ mental health conditions. (C) 2014

Published by Elsevier Ltd.”
“N-methyl-d-aspartate (NMDA) receptors are ionotropic glutamate receptors widely distributed in the central nervous system, and have been extensively investigated for their roles in embryonic development, synaptic plasticity and neuroexcitoxicity. Their functions in the peripheral nervous system and non-neural tissues have caught much Selleckchem HKI-272 attention recently. Over-activation of NMDA receptors induces excitotoxic lung injury. But the endogenous cell types in the lungs that express NMDA receptors remains elusive and the

molecular mechanism underlies NMDA-induced lung injury has not been fully characterized. In this work, we reported that functional NMDA receptors were expressed in alveolar type II cells in the lungs. click here Over-activation of these receptors led to down-regulation of pulmonary surfactants synthesis. We further demonstrated that decreased cellular choline-phosphate cytidylyltransferase alpha expression induced by NMDA treatment accounted for the decreased pulmonary surfactants synthesis. Our results provided important clues for treatment of glutamate lung injury by modulating pulmonary surfactants system.”
“GIT (G protein-coupled receptor kinase-interacting protein) and PIX (p21-activated kinase-interacting exchange factor) family proteins integrate signaling pathways involving Arf and Rho family GTPases. GIT1 and beta-PIX form a constitutively associated complex that acts as a scaffold to allow the formation of large multiprotein assemblies that regulate synaptogenesis, cell polarity and cell migration among other physiological processes. Complex formation is mediated by the GIT binding domain (GBD) in beta-PIX, which recognizes the Spa homology domain of GIT1. Both binding domains are adjacent to predicted coiled-coil segments that allow homo-oligomerization of GIT1 and beta-P1X, respectively.

The development of melasma appears to be associated with increase

The development of melasma appears to be associated with increased levels of oestrogen, exposure to sunlight and a genetic predisposition. Several in vitro studies have partially clarified the effects of oestrogen and progesterone on melasma. However, oestrogen receptor (ER) and progesterone receptor (PR) expression in melasma-affected skin has not been investigated to date, except for one case report on ER expression.\n\nObjective\n\nThe purpose of this study was to compare ER and PR expression between hyperpigmented areas and unaffected areas of facial skin in patients with melasma.\n\nMethods\n\nBiopsies were performed on skin lesions and adjacent-unaffected Z-DEVD-FMK datasheet facial skin in 33 Korean

women with melasma. The sections were stained using haematoxylin and eosin, Fontana-Masson, and antibodies to NKI/beteb, ER alpha,

beta and PR.\n\nResults\n\nThe immunohistochemical expression of ER beta showed an increasing tendency in epidermal lesions without statistical significance. Expression of PR was significantly increased in the epidermal lesions compared with unaffected skin on the computer-assisted image analysis. Interestingly, there was increased ER beta Emricasan expression in the dermal lesions especially around small blood vessels and fibroblast-like cells compared with unaffected dermis on the semi-quantitative analysis. However, there was no significant difference in the expression of PR between the dermal lesions and unaffected dermis.\n\nConclusion\n\nThe results of this study

may provide useful information for further investigation into the pathogenesis and therapeutic approaches for treating melasma in relation to hormonal factors. The role of ER in the dermis in association with dermal environment such as blood vessels and fibroblasts remains to be further clarified.”
“Comparing the responsiveness over time of the Harris Hip Score (HHS) and the SF-36 in patients who underwent total hip arthroplasty (THA) and assessing variation in the responsiveness of these measures by the number of co-morbidities.\n\nThis prospective study analyzed 335 THA patients A 1155463 treated at two southern Taiwan hospitals from 1997 to 2000. Magnitude of change in HRQoL was compared by generalized estimating equation. Bias-corrected and accelerated bootstrapping was used to measure magnitude of change in HHS and SF-36 subscale scores for five different time intervals spanning a 5-year period.\n\nThe analytical results indicated that the pain and physical function subscales of the HHS are more responsive than those of the SF-36 for short-term (within 1 year post-surgery) measurements but are less responsive for long-term measurements. At various follow-up intervals, the HHS and the SF-36 significantly differed in ES of changes in pain and physical function subscale scores for patients with one co-morbidity and for patients with two or more co-morbidities.

Predation undoubtedly has an overriding influence on body size se

Predation undoubtedly has an overriding influence on body size selection. Depending on its mechanistic PF-00299804 basis (visual, tactile or both in tandem), it selectively favours either small or large body size, both within (adults vs. juveniles) and between prey species, which are accordingly often ‘size-trapped’ between contrasting selective

pressures, with consequent indirect effects. The bioenergetics of fundamental physiological processes undoubtedly set constraints on body size and serve as the primary determinant. However, within such constraints, the phenotypic expression of body size reflects its adaptive modification in response to the prevailing abiotic and biotic environment. As such, body size represents an emergent ecological property, reflecting the outcome of specific circumstances and conditions, which vary both temporally within and spatially between different ecosystems, and are accordingly context dependent. Nevertheless, underlying physiological advantages of larger size (within and between species) among crustacean zooplankters-lower mass-specific metabolic rates (although recently challenged), higher individual feeding rates (at least among cladocerans), potentially wider food size-ranges, better starvation tolerances, higher potential

fecundity, etc.-collectively favour the selection of increased body size, as predicted by the SEH. Although competitive superiority of large size (measured in terms of minimal food requirements) has been confirmed experimentally, this cannot be generalized to natural conditions, where conflicting and GSK461364 clinical trial temporally variable pressures

apply, and contribute to generally mixed, and temporally variable body size compositions.\n\nComplex undrlying ecological interactions and influences ultimately determine the phenotypic expression P005091 datasheet of body size in directions consistent with fitness optimization under prevailing circumstances. Certain specific and general deficiencies in information are identified. In particular, the overwhelming emphasis on daphniid cladocerans as model study taxa in freshwater ecosystems has marginalized the acquisition of a comparably broad and penetrating understanding of specific features both of non-daphniid cladoceran and copepod life histories and body size selection. Among daphniid cladocerans, contemporary definitive understanding devolves largely from reductionist laboratory approaches. Holistic re-integration of these mechanistic findings into natural system circumstances presents a difficult challenge that is attracting increasingly attention. With regard to copepods, synthetic integration of the expansive marine knowledge base appears crucial to inform and direct future investigations on freshwater taxa. The question of intrinsic body size regulation in copepods and cladocerans, especially in regard to final phenotypic plasticity in body size expression, awaits resolution.

In this study, we developed a novel hyphenated Agilent nano-HPLC

In this study, we developed a novel hyphenated Agilent nano-HPLC chip column-MS method to obtain proteomic information from individual fruit fly hemolymph, using a low-volume sample collection technique established previously. The total amount of individual Drosophila hemolymph protein is determined around 0.798 +/- 0.251 mu g/100 nL based upon a Bradford assay with BSA. Hemolymph samples around 50 nL were collected from single flies and digested using a customized micro-scale digestion protocol. Mass spectral analysis shows a total of 19 proteins were

identified from the hemolymph of individual flies. Of these findings, 6 novel proteins have been identified for the first time with evidence at the translation level. Detection of 13 proteins well-known in the literature speaks to the method’s validity and demonstrates the ability to reproducibly analyze volume-limited samples from individual fruit flies for MK-8931 in vitro protein content. This nano-scale analysis method will facilitate

future study of Drosophila PD-1/PD-L1 mutation and lead to a more complete understanding of the physiology of the fly model system. (C) 2014 Elsevier B.V. All rights reserved.”
“Nursing home residents are often very dependent, very frail and have complex care needs. Effective partnerships between primary and secondary care will be of benefit to these residents. We looked at 1954 admission episodes to our Trust from April 2006 to March 2009 inclusive. ARRY-142886 3 nursing homes had the highest number of multiple admissions (>= 4). Four strategies to reduce hospital admissions were used at these nursing homes for 3 months. An alert was also sent to the geriatrician if one

of the residents was admitted so that their discharge from hospital could be expedited. The project was then extended for another 4 months with 6 nursing homes. The results showed that geriatrician input into nursing homes had a significant impact on admissions from nursing homes (chi(2)(2) = 6.261, p < 0.05). The second part of the project also showed significant impact on admissions (chi(2)(2) = 12.552, p < 0.05). Furthermore, in both parts of the project the length of stay in hospital for the residents was reduced. Geriatricians working together with co-ordinated multidisciplinary teams are well placed to manage the care needs of frail, elderly care home residents. (C) 2011 Elsevier Ireland Ltd. All rights reserved.”
“We describe the simultaneous production of Bacillus subtilis based proteases and alpha amylase using a computer controlled laboratory scale 7.5 L batch bioreactor. The present strain is the first to be reported that concomitantly produces these two industrially important enzymes. The growth and sporulation of Bacillus subtilis was monitored and maximum production of alkaline protease and alpha amylase was found to coincide with maximum sporulation.

There were 23 1-stage

procedures, and 32 two-stage proced

There were 23 1-stage

procedures, and 32 two-stage procedures with a mean 12-day interval (range, 4-30 days). Twelve reaming samples were biologically positive without secondary infection. There were 4 septic complications (3 abscesses, GW4869 concentration 1 osteomyelitis), and 1 aseptic non-union required re-nailing. The union rate was 96%. The sole factor of poor prognosis was severity of fracture opening. One-stage SIN did not increase infection risk. Discussion: The present results were better than reported in the literature, where the rates of Gustilo IIIA and IIIB fracture and pin site infection are, however, higher. Tibial shaft SIN is a reliable procedure, with infection risk correlating with Gustilo type and time to surgery. Surgery should be early, before onset of EF pin site infection. A 1-stage attitude appears feasible in early SIN. (C) 2014 Elsevier Masson SAS. All rights reserved.”
“No reports have been published to date regarding primary gastric granulocyte colony-stimulating factor (G-CSF)-producing histiocytic sarcoma. We encountered a case of primary gastric histiocytic sarcoma that also fulfilled the criteria

for a G-CSF-producing Apoptosis Compound Library clinical trial tumor. A 75-year-old man was diagnosed with gastric cancer with poorly differentiated adenocarcinoma. The patient’s white blood cell count was elevated to 20,700/mu L, and the G-CSF level was elevated to 380 pg/mL. A computed tomography scan showed hepatic infiltration; therefore, selleck products a preoperative diagnosis of T4 (liver) N2H0M0 cStage IV gastric cancer was made, and surgery was performed. No. 11d lymphatic metastasis was noted, resulting in invasion of the pancreatic tail, and combined resection of the liver, pancreas, and spleen was conducted with complete gastrectomy. The results of hematoxylin-eosin and immunohistochemical staining were subsequently assessed. On discharge, the G-CSF level had fallen to 22.7 pg/mL. Currently, the patient

is still alive and has experienced no recurrence approximately 4 years after the operation.”
“Rice blast caused by Magnaporthe oryzae is the most devastating disease of rice and poses a serious threat to world food security. In this study, the distribution and effectiveness of 18 R genes in 277 accessions were investigated based on pathogenicity assays and molecular markers. The results showed that most of the accessions exhibited some degree of resistance (resistance frequency, RF bigger than 50%). Accordingly, most of the accessions were observed to harbor two or more R genes, and the number of R genes harbored in accessions was significantly positively correlated with RF. Some R genes were demonstrated to be specifically distributed in the genomes of rice sub-species, such as Pigm, Pi9, Pi5 and Pi1, which were only detected in indica-type accessions, and Pik and Piz, which were just harbored in japonica-type accessions.

This technique is easily adaptable, cost-effective and reliable f

This technique is easily adaptable, cost-effective and reliable for the confirmation of HBsAg in a low resource setting, enhancing the overall quality of HBsAg screening.”
“Objective: Obese adults have a greater risk of morbidity and mortality from infection with pandemic H1N1 influenza A virus (pH1N1). The objective of the present study was to elucidate the specific mechanisms by which obesity and overweight impact the cellular immune response

to pH1N1.\n\nDesign and Methods: CT99021 nmr Peripheral blood mononuclear cells from healthy weight, overweight, and obese individuals were stimulated ex vivo with live pH1N1 and then markers of activation and function were measured using flow cytometry and cytokine secretion was measured using cytometric bead array assays.\n\nResults:

CD4(+) and CD8(+) T cells from overweight and obese individuals expressed lower levels of CD69, CD28, CD40 ligand, and interleukin-12 receptor, as well as, produced lower levels of interferon-gamma and granzyme B, compared with healthy weight individuals, suggesting deficiencies in activation and function are indicated. Dendritic cells from the three groups expressed similar levels of major histocompatibility complex-II, CD40, CD80, and CD86, as well as, produced similar levels of interleukin-12.\n\nConclusions: The defects in CD4(+) and CD8(+) T cells may contribute to the increased morbidity and mortality from pH1N1 in obese individuals. These data also provide evidence that both overweight selleck kinase inhibitor and obesity cause impairments in immune function.”
“In humans, NH(3) transport across cell membranes is facilitated by Torin 2 the Rh (rhesus) family of proteins. Human Rh C glycoprotein (RhCG) forms a trimeric complex that plays an essential role in ammonia excretion and renal pH regulation. The X-ray crystallographic structure of human RhCG, determined at 2.1 angstrom resolution, reveals the mechanism of ammonia transport. Each monomer contains 12 transmembrane helices, one more

than in the bacterial homologs. Reconstituted into proteoliposomes, RhCG conducts NH(3) to raise internal pH. Models of the erythrocyte Rh complex based on our RhCG structure suggest that the erythrocytic Rh complex is composed of stochastically assembled heterotrimers of RhAG, RhD, and RhCE.”
“Purpose: The femtosecond laser is a new option for cutting corneal tissue at high precision. The “top-hat” profile has an overlapping graft-host interface at the edge because of a larger inner trephination diameter. This may enhance graft fixation, thus improving the outcome and accelerating rehabilitation after penetrating keratoplasty.\n\nMethods: Femtosecond laser top-hat keratoplasties with overlaps of 0 and 3 mm between inner and outer trephination diameters were performed in vitro. After trephination, the excised corneal buttons were readapted by different suturing profiles.

Such a tissue-engineered FM may have the potential to plug struct

Such a tissue-engineered FM may have the potential to plug structural defects in the amniotic sac after antenatal interventions, or to prevent preterm premature rupture of the FM. The hAESCs and hASFs were isolated from human fetal amniotic membrane (AM). Magnetic cell sorting was used to enrich the hAESCs by positive ATP-binding cassette G2

selection. We investigated the use of a laminin/fibronectin (1: 1)-coated compressed collagen gel as a novel scaffold to support the growth of hAESCs. A type I collagen gel was dehydrated to form a material mimicking the mechanical properties and ultra-structure of human AM. hAESCs successfully adhered to and formed a monolayer upon the biomimetic collagen scaffold. The resulting artificial membrane shared a high degree GSK2118436 chemical structure of similarity in cell morphology, protein expression profiles, and structure to normal fetal AM. This study provides the first line of evidence that a compacted collagen gel containing hASFs could adequately support hAESCs adhesion and differentiation to a degree that is comparable to the normal human fetal AM in terms of structure and maintenance of cell phenotype.”
“Objective To evaluate the effectiveness of the American Academy of Pediatrics Neonatal Resuscitation

Program (NRP) in improving knowledge, skills, and self-efficacy of nurse midwives in low-risk delivery clinics in a developing country.\n\nStudy design We used the content specifications of the NRP material SNS-032 cost applicable to college-educated nurse midwives working in low-risk clinics in Zambia to develop performance and self-efficacy evaluations focused on principles of resuscitation, initial steps, ventilation, and chest compressions. These evaluations were administered

to 127 nurse midwives before and after NRP training and 6-months later.\n\nResults After training, written scores (knowledge evaluation) improved PLK inhibitor from 57% +/- 14% to 80% +/- 12% (mean +/- SD; P < .0001); performance scores (skills evaluation) improved the most from 43% +/- 21% to 88% +/- 9% (P < .0001); self-efficacy scores improved from 74% +/- 14% to 90% +/- 10% (P < .0001). Written and performance scores decreased significantly 6 months after training, but self-efficacy scores remained high.\n\nConclusions As conducted, the NRP training improved educational outcomes in college-educated practicing nurse mid-wives. Pre-training knowledge and skills scores were relatively low despite the advanced formal education and experience of the participants, whereas the self-efficacy scores were high. NRP training has the potential to substantially improve knowledge and skills of neonatal resuscitation. (J Pediatr 2009;154:504-8)”
“Mucocele forms because of salivary gland mucous extravasation or retention and is usually related to trauma in the area of the lower lip.

In addition, there is increasing interest in the comparison of EE

In addition, there is increasing interest in the comparison of EES (Xience, Abbott Vascular, Abbott Park, Illinois) versus SES (Cypher, Cordis Corporation, Miami Lakes, Florida).\n\nMethods The ISAR-TEST 4 (Intracoronary Stenting and Angiographic Results: Test Efficacy of 3 Limus-Eluting Stents-4) was a randomized clinical trial with broad inclusion criteria, enrolling 2,603 patients at 2 clinics in Munich, Germany.

Patients were randomized to either biodegradable polymer (n = 1,299) or permanent polymer stents (n = 1,304); patients treated with permanent polymer stents were randomly allocated to EES (n = 652) or SES (n = 652). The primary endpoint was the composite of cardiac death, target vessel-related myocardial infarction, or target lesion revascularization.\n\nResults Clinical events continued to accrue at a low rate out to 3 years EVP4593 in all groups. Overall, there was no significant difference between biodegradable polymer and permanent polymer DES with regard

to the primary KPT-8602 price endpoint (20.1% vs. 20.9%, hazard ratio [HR]: 0.95, 95% confidence interval [CI]: 0.80 to 1.13; p = 0.59). Rates of definite/probable stent thrombosis were also similar in both groups (1.2% vs. 1.7%, respectively; HR: 0.71, 95% CI: 0.37 to 1.39; p = 0.32). In patients treated with permanent polymer stents, EES were comparable to SES with regard to the primary endpoint (19.6% vs. 22.2%, respectively; HR: 0.87, 95% CI: 0.68 to 1.11; p = 0.26) as well as definite/probable stent thrombosis (1.4% vs. 1.9%, HR: 0.75, 95% CI: 0.32 to 1.78; p = 0.51).\n\nConclusions Biodegradable polymer and permanent polymer DES are associated with similar clinical outcomes at 3 years. In addition, EES are comparable to SES in terms of overall clinical efficacy and safety. (Intracoronary Stenting and Angiographic

Results: Test Efficacy of 3 Limus-Eluting STents [ISAR-TEST 4]: Prospective, Randomized Trial of 3-limus Agent-eluting Stents With Different Polymer Coatings; NCT00598676) (J Am Coll Cardiol 2011;58:1325-31) (C) 2011 by the American College of Cardiology Foundation”
“Global progress to reduce maternal deaths from LY333531 unsafe abortion h inadequate. Clarifying abortion values and attitudes, using updated WHO safe abortion technical guidance, networking with other providers, and securing adequate abortion and contraceptive supplies can support providers to put induced abortion, postabortion care, and contraceptive skills into practice. Revised national guidelines based on updated WHO guidance can support women’s healthcare providers to offer safe abortion for all legal indications and other measures to protect women’s life and health. Recommendations of the United Nations and partner agencies can be used to support integration of abortion into other health programs, to expand provision of abortion care by midlevel providers, such as midwives, and to advocate for resources and results based on an expanded reproductive, maternal, newborn, and child health Continuum of Care.