36 research outputs found
Dynamics and Kinetic Roughening of Interfaces in Two-Dimensional Forced Wetting
We consider the dynamics and kinetic roughening of wetting fronts in the case
of forced wetting driven by a constant mass flux into a 2D disordered medium.
We employ a coarse-grained phase field model with local conservation of
density, which has been developed earlier for spontaneous imbibition driven by
a capillary forces. The forced flow creates interfaces that propagate at a
constant average velocity. We first derive a linearized equation of motion for
the interface fluctuations using projection methods. From this we extract a
time-independent crossover length , which separates two regimes of
dissipative behavior and governs the kinetic roughening of the interfaces by
giving an upper cutoff for the extent of the fluctuations. By numerically
integrating the phase field model, we find that the interfaces are superrough
with a roughness exponent of , a growth exponent of
, and as a function of the
velocity. These results are in good agreement with recent experiments on
Hele-Shaw cells. We also make a direct numerical comparison between the
solutions of the full phase field model and the corresponding linearized
interface equation. Good agreement is found in spatial correlations, while the
temporal correlations in the two models are somewhat different.Comment: 9 pages, 4 figures, submitted to Eur.Phys.J.
Dynamics of driven interfaces near isotropic percolation transition
We consider the dynamics and kinetic roughening of interfaces embedded in
uniformly random media near percolation treshold. In particular, we study
simple discrete ``forest fire'' lattice models through Monte Carlo simulations
in two and three spatial dimensions. An interface generated in the models is
found to display complex behavior. Away from the percolation transition, the
interface is self-affine with asymptotic dynamics consistent with the
Kardar-Parisi-Zhang universality class. However, in the vicinity of the
percolation transition, there is a different behavior at earlier times. By
scaling arguments we show that the global scaling exponents associated with the
kinetic roughening of the interface can be obtained from the properties of the
underlying percolation cluster. Our numerical results are in good agreement
with theory. However, we demonstrate that at the depinning transition, the
interface as defined in the models is no longer self-affine. Finally, we
compare these results to those obtained from a more realistic
reaction-diffusion model of slow combustion.Comment: 7 pages, 9 figures, to appear in Phys. Rev. E (1998
Segmental and total uniparental isodisomy (UPiD) as a disease mechanism in autosomal recessive lysosomal disorders : evidence from SNP arrays
Analyses in our diagnostic DNA laboratory include genes involved in autosomal recessive (AR) lysosomal storage disorders such as glycogenosis type II (Pompe disease) and mucopolysaccharidosis type I (MPSI, Hurler disease). We encountered 4 cases with apparent homozygosity for a disease-causing sequence variant that could be traced to one parent only. In addition, in a young child with cardiomyopathy, in the absence of other symptoms, a diagnosis of Pompe disease was considered. Remarkably, he presented with different enzymatic and genotypic features between leukocytes and skin fibroblasts. All cases were examined with microsatellite markers and SNP genotyping arrays. We identified one case of total uniparental disomy (UPD) of chromosome 17 leading to Pompe disease and three cases of segmental uniparental isodisomy (UPiD) causing Hurler-(4p) or Pompe disease (17q). One Pompe patient with unusual combinations of features was shown to have a mosaic segmental UPiD of chromosome 17q. The chromosome 17 UPD cases amount to 11% of our diagnostic cohort of homozygous Pompe patients (plus one case of pseudoheterozygosity) where segregation analysis was possible. We conclude that inclusion of parental DNA is mandatory for reliable DNA diagnostics. Mild or unusual phenotypes of AR diseases should alert physicians to the possibility of mosaic segmental UPiD. SNP genotyping arrays are used in diagnostic workup of patients with developmental delay. Our results show that even small Regions of Homozygosity that include telomeric areas are worth reporting, regardless of the imprinting status of the chromosome, as they might indicate segmental UPiD.Peer reviewe
Utilização dos serviços de atendimento odontológico hospitalar sob sedação e/ou anestesia geral por pessoas com necessidades especiais no SUS-MG, Brasil
Segmental and total uniparental isodisomy (UPiD) as a disease mechanism in autosomal recessive lysosomal
Analyses in our diagnostic DNA laboratory include genes involved in autosomal recessive (AR) lysosomal storage disorders
such as glycogenosis type II (Pompe disease) and mucopolysaccharidosis type I (MPSI, Hurler disease). We encountered 4
cases with apparent homozygosity for a disease-causing sequence variant that could be traced to one parent only. In addition,
in a young child with cardiomyopathy, in the absence of other symptoms, a diagnosis of Pompe disease was considered.
Remarkably, he presented with different enzymatic and genotypic features between leukocytes and skin fibroblasts. All cases
were examined with microsatellite markers and SNP genotyping arrays. We identified one case of total uniparental disomy
(UPD) of chromosome 17 leading to Pompe disease and three cases of segmental uniparental isodisomy (UPiD) causing
Hurler-(4p) or Pompe disease (17q). One Pompe patient with unusual combinations of features was shown to have a mosaic
segmental UPiD of chromosome 17q. The chromosome 17 UPD cases amount to 11% of our diagnostic cohort of
homozygous Pompe patients (plus one case of pseudoheterozygosity) where segregation analysis was possible. We conclude
that inclusion of parental DNA is mandatory for reliable DNA diagnostics. Mild or unusual phenotypes of AR diseases
should alert physicians to the possibility of mosaic segmental UPiD. SNP genotyping arrays are used in diagnostic workup
of patients with developmental delay. Our results show that even small Regions of Homozygosity that include telomeric
areas are worth reporting, regardless of the imprinting status of the chromosome, as they might indicate segmental UPiD
Avaliação da assistência à saúde da mulher e da criança em localidade urbana da região Sudeste do Brasil
Princípios de universalidade, integralidade e equidade em um serviço de atenção à saúde auditiva
The effect of training in Integrated Management of Childhood Illness (IMCI) on the performance and healthcare quality of pediatric healthcare workers: a systematic review
Hippocampal sclerosis, hippocampal neuron loss patterns and Tdp-43 in the aged population
Hippocampal neuron loss is a common neuropathological feature in old age with various underlying etiologies. Hippocampal sclerosis of aging (HS-Aging) is neuropathologically characterized by severe CA1 neuronal loss and frequent presence of transactive response DNA-binding protein of 43 kDa (TDP-43) aggregations. Its etiology is unclear and currently no standardized approaches to measure HS-Aging exist. We developed a semi-quantitative protocol, which captures various hippocampal neuron loss patterns, and compared their occurrence in the context of HS-Aging, TDP-43, vascular and tau pathology in 672 brains (TDP-43 staining n = 642/672, 96%) donated for the population-based Cambridge City over-75s Cohort and the Cognitive Function and Ageing Study. HS-Aging was first evaluated independently from the protocol using the most common criteria defined in literature, and then described in detail through examination of neuron loss patterns and associated pathologies. 34 (5%) cases were identified, with a maximum of five pyramidal neurons in each of over half CA1 fields-of-view (x200 magnification), no vascular damage, no neuron loss in CA2-CA4, but consistent TDP-43 neuronal solid inclusions and neurites. We also report focal CA1 neuron loss with vascular pathology to affect predominantly CA1 bordering CA2 (Fisher's exact, P = 0.009), whereas neuron loss in the subicular end of CA1 was associated with TDP-43 inclusions (Fisher's exact, P < 0.001) and high Braak stage (Fisher's exact, P = 0.001). Hippocampal neuron loss in CA4-CA2 was not associated with TDP-43. We conclude that hippocampal neuron loss patterns are associated with different etiologies within CA1, and propose that these patterns can be used to form objective criteria for HS-Aging diagnosis. Finally, based on our results we hypothesize that neuron loss leading to HS-Aging starts from the subicular end of CA1 when it is associated with TDP-43 pathology, and that this neurodegenerative process is likely to be significantly more common than “end-stage” HS-Aging only.The Cambridge Human Research Tissue Bank is supported by the National Institute for Health Research Cambridge Biomedical Research Centre. CFAS is supported by grants (G9901400) from the UK Medical Research Council MRC CFAS was supported in part by: a Special Project grant and a Programme grant from the MRC and the Department of Health; the UK NIHR Biomedical Research Centre for Ageing and Age - related Disease Award to the Newcastle-upon-Tyne Hospitals Foundation Trust; the Cambridge Brain Bank is supported by the NIHR Cambridge Biomedical Research Centre; The Cambridgeshire and Peterborough NIHR CLAHRC; Nottingham University Hospitals NHS Trust; University of Sheffield and the Sheffield Teaching Hospitals NHS Foundation Trust; The Thomas Willis Oxford Brain Collection, supported by the Oxford Biomedical Research Centre; The Walton Centre NHS Foundation Trust, Liverpool. We would like to acknowledge the essential contribution of the liaison officers, the general practitioners, their staff, and nursing and residential home staff. Component projects within CFAS have been support by the Medical Research Council and by the Alzheimer's Research Trust (ART PG2006/6). This project was supported by an Australian NHMRC Project Grant (APP1042889) and The Addenbrooke's Charitable Trust; the later also supported SH. SRKH is supported by an Alzheimer's Research UK scholarship (ARUK-PhD2014–19). HADK is supported by an Australian NHMRC Training Fellowship (GNT568890). FEM is supported by the grant MRC.U.1052.00.013
Adequacy of public maternal care services in Brazil
Abstract Background In Brazil, hospital childbirth care is available to all, but differences in access and quality of care result in inequalities of maternal health. The objective of this study is to assess the infrastructure and staffing of publicly financed labor and birth care in Brazil and its adequacy according to clinical and obstetric conditions potentially associated with obstetric emergencies. Methods Nationwide cross-sectional hospital-based study “Birth in Brazil: national survey into labor and birth” conducted in 2011–2012. Data from 209 hospitals classified as public (public funding and management) or mixed (public or private funding and private management) that generate estimates for 1148 Brazilian hospitals. Interview with hospital managers provided data for the structure adequacy assessment covering four domains: human resources, medications, equipment for women emergency care and support services. We conducted analysis of the structure adequacy rate according to type of hospital (public or mixed), availability of ICU and the woman obstetric risk using the X 2 test to detect differences in categorical variables with the level of statistical significance set at p <0.05. Results Global rate of adequacy of 34.8 %: 42.2 % in public hospitals and 29.0 % in mixed hospitals (p < 0.001). Public and mixed hospitals with ICU had higher scores of adequacy than hospitals without ICU (73.3 % × 24.4 % public hospitals; 40.3 % × 10.6 % mixed hospitals). At a national level, 32.8 % of women with obstetric risk were cared for in hospitals without ICU and 29.5 % of women without risk were cared for in hospitals with ICU. Inequalities were observed with the North, Northeast and non-capital regions having the lower rates of hospitals with ICU. Conclusions The majority of maternity wards across the country have a low rate of adequacy that can affect the quality of labor and birth care. This holds true for women at high obstetric risk, who suffer the possibility of having their care compromised by failures of hospital infrastructure, and for women at low obstetric risk, who may not receive the appropriate care to support the natural evolution of their labor when in a technological hospital environment
