4,010 research outputs found
Microspectroscopy and Imaging in the THz Range Using Coherent CW Radiation
A novel THz near-field spectrometer is presented which allows to perform
biological and medical studies with high spectral resolution combined with a
spatial resolution down to l/100. In the setup an aperture much smaller than
the used wavelength is placed in the beam very close to the sample. The sample
is probed by the evanescent wave behind the aperture. The distance is measured
extremely accurate by a confocal microscope. We use monochromatic sources which
provide powerful coherent cw radiation tuneable from 50 GHz up to 1.5 THz.
Transmission and reflection experiments can be performed which enable us to
study solids and molecules in aqueous solution. Examples for spectroscopic
investigations on biological tissues are presented.Comment: 4 pages, 5 figures, email: [email protected]
Pharmacist intervention in primary care to improve outcomes in patients with left ventricular systolic dysfunction
<b>Background</b> Meta-analysis of small trials suggests that pharmacist-led collaborative review and revision of medical treatment may improve outcomes in heart failure.<p></p>
<b>Methods and results</b> We studied patients with left ventricular systolic dysfunction in a cluster-randomized controlled, event driven, trial in primary care. We allocated 87 practices (1090 patients) to pharmacist intervention and 87 practices (1074 patients) to usual care. The intervention was delivered by non-specialist pharmacists working with family doctors to optimize medical treatment. The primary outcome was a composite of death or hospital admission for worsening heart failure. This trial is registered, number ISRCTN70118765. The median follow-up was 4.7 years. At baseline, 86% of patients in both groups were treated with an angiotensin-converting enzyme inhibitor or an angiotensin receptor blocker. In patients not receiving one or other of these medications, or receiving less than the recommended dose, treatment was started, or the dose increased, in 33.1% of patients in the intervention group and in 18.5% of the usual care group [odds ratio (OR) 2.26, 95% CI 1.64–3.10; P< 0.001]. At baseline, 62% of each group were treated with a β-blocker and the proportions starting or having an increase in the dose were 17.9% in the intervention group and 11.1% in the usual care group (OR 1.76, 95% CI 1.31–2.35; P< 0.001). The primary outcome occurred in 35.8% of patients in the intervention group and 35.4% in the usual care group (hazard ratio 0.97, 95% CI 0.83–1.14; P = 0.72). There was no difference in any secondary outcome.<p></p>
<b>Conclusion</b> A low-intensity, pharmacist-led collaborative intervention in primary care resulted in modest improvements in prescribing of disease-modifying medications but did not improve clinical outcomes in a population that was relatively well treated at baseline
A conserved U-rich RNA region implicated in regulation of translation in Plasmodium female gametocytes.
Translational repression (TR) plays an important role
in post-transcriptional regulation of gene expression
and embryonic development in metazoans. TR
also regulates the expression of a subset of the
cytoplasmic mRNA population during development
of fertilized female gametes of the unicellular
malaria parasite, Plasmodium spp. which results
in the formation of a polar and motile form, the
ookinete. We report the conserved and sex-specific
regulatory role of either the 3’- or 5’-UTR of a subset
of translationally repressed mRNA species as
shown by almost complete inhibition of expression
of a GFP reporter protein in the female gametocyte.
A U-rich, TR-associated element, identified previously
in the 3’-UTR of TR-associated transcripts,
played an essential role in mediating TR and a
similar region could be found in the 5’-UTR shown in
this study to be active in TR. The silencing effect of
this 5’-UTR was shown to be independent of its
position relative to its ORF, as transposition to a
location 3’ of the ORF did not affect TR. These
results demonstrate for the first time in a unicellular
organism that the 5’ or the 3’-UTR of TR-associated
transcripts play an important and conserved role in
mediating TR in female gametocytes
Investigations of meltwater refreezing and density variations in the snowpack and firn within the percolation zone of the Greenland Ice Sheet
The mass balance of polythermal ice masses is critically dependent on the proportion of surface-generated meltwater that subsequently refreezes in the snowpack and firn. In order to quantify this effect and to characterize its spatial variability, we measured near-surface (26%, resulting in a 32% increase in net accumulation. This 'seasonal densification' increased at lower elevations, rising to 47% 10 km closer to the ice-sheet margin at 1860 m a. s. l. Density/depth profiles from nine sites within 1 km2 at ∼1945 m a.s.l. reveal complex stratigraphies that change over short spatial scales and seasonally. We conclude that estimates of mass-balance change cannot be calculated solely from observed changes in surface elevation, but that near-surface densification must also be considered. However, predicting spatial and temporal variations in densification may not be straightforward. Further, the development of complex firn-density profiles both masks discernible annual layers in the near-surface firn and ice stratigraphy and is likely to introduce error into radar-derived estimates of surface elevation
Fluctuations of a Greenlandic tidewater glacier driven by changes in atmospheric forcing : observations and modelling of Kangiata Nunaata Sermia, 1859–present
Acknowledgements. The authors wish to thank Stephen Price, Mauri Pelto, and the anonymous reviewer for their reviews and comments that helped to improve the manuscript. RACMO2.1 data were provided by Jan van Angelen and Michiel van den Broeke, IMAU, Utrecht University. MAR v3.2 data used for runoff calculations were provided by Xavier Fettweis, Department of Geography, University of Liège. The photogrammetric DEM used in Figs. 1 and 3 was provided by Kurt H. Kjær, Centre for GeoGenetics, University of Copenhagen. This research was financially supported by J. M. Lea’s PhD funding, NERC grant number NE/I528742/1. Support for F. M. Nick was provided through the Conoco-Phillips/Lundin Northern Area Program CRIOS project (Calving Rates and Impact on Sea Level).Peer reviewedPublisher PD
Nondiffracting beams for vortex tomography
We propose a reconstruction of vortex beams based on the implementation of
quadratic transformations in the orbital angular momentum. The information is
encoded in a superposition of Bessel-like nondiffracting beams. The measurement
of the angular probability distribution at different positions allows for the
reconstruction of the Wigner function.Comment: 3 pages. 2 eps figures. To appear in Optics Letter
Permeability evolution during progressive development of deformation bands in porous sandstones
[1] Triaxial deformation experiments were carried out on large (0.1 m) diameter cores of a porous sandstone in order to investigate the evolution of bulk sample permeability as a function of axial strain and effective confining pressure. The log permeability of each sample evolved via three stages: (1) a linear decrease prior to sample failure associated with poroelastic compaction, (2) a transient increase associated with dynamic stress drop, and (3) a systematic quasi-static decrease associated with progressive formation of new deformation bands with increasing inelastic axial strain. A quantitative model for permeability evolution with increasing inelastic axial strain is used to analyze the permeability data in the postfailure stage. The model explicitly accounts for the observed fault zone geometry, allowing the permeability of individual deformation bands to be estimated from measured bulk parameters. In a test of the model for Clashach sandstone, the parameters vary systematically with confining pressure and define a simple constitutive rule for bulk permeability of the sample as a function of inelastic axial strain and effective confining pressure. The parameters may thus be useful in predicting fault permeability and sealing potential as a function of burial depth and faul
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Centrifuge modelling of tunnelling with forepoling
Geotechnical centrifuge modelling provides a means by which geotechnical events and processes can be better understood. In particular, the technique has proved invaluable when investigating collapse mechanisms in small scale models that can be related to full scale events. A series of eight plane strain centrifuge model tests investigating the effect of inserting inclusions around the annulus of a single tunnel in over consolidated clay has been conducted using the geotechnical centrifuge at City University London. The model used a compressed air supported circular cavity to simulate the tunnel. Stiff resin inclusions embedded around its periphery were used to represent closely spaced forepoles forming grout umbrella arches. Image processing was used to obtain patterns of displacements at the subsurface and displacement transducers measured vertical settlement at the ground surface level. The investigation focused on how different arrangements of forepoling affected tunnel stability. The influence of forepoling on normally accepted plastic collapse mechanisms is discussed. An optimisation of the forepoling layout is uggested in accordance with the findings
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