Unusual polymerization in the Li4C60 fulleride

Li4C60, one of the best representatives of lithium intercalated fullerides, features a novel type of 2D polymerization. Extensive investigations, including laboratory x-ray and synchrotron radiation diffraction, 13C NMR, MAS and Raman spectroscopy, show a monoclinic I2/m structure, characterized by chains of [2+2]-cycloaddicted fullerenes, sideways connected by single C-C bonds. This leads to the formation of polymeric layers, whose insulating nature, deduced from the NMR and Raman spectra, denotes the complete localization of the electrons involved in the covalent bonds.Comment: 7 pages, 6 figures, RevTex4, submitted to Phys. Rev.

Mobile health for cancer in low to middle income countries: priorities for research and development.

The is the accepted manuscript of an article published in the European Journal of Cancer Care (Holeman, I., Evans, J., Kane, D., Grant, L., Pagliari, C. and Weller, D. (2014), Mobile health for cancer in low to middle income countries: priorities for research and development. European Journal of Cancer Care, 23: 750–756. doi: 10.1111/ecc.12250)Many current global health opportunities have less to do with new biomedical knowledge than with the coordination and delivery of care. While basic research remains vital, the growing cancer epidemic in countries of low and middle income warrants urgent action - focusing on both research and service delivery innovation. Mobile technology can reduce costs, improve access to health services, and strengthen health systems to meet the interrelated challenges of cancer and other noncommunicable diseases. Experience has shown that even very poor and remote communities that only have basic primary health care can benefit from mobile health (or 'mHealth') interventions. We argue that cancer researchers and practitioners have an opportunity to leverage mHealth technologies that have successfully targeted other health conditions, rather than reinventing these tools. We call for particular attention to human centred design approaches for adapting existing technologies to suit distinctive aspects of cancer care and to align delivery with local context - and we make a number of recommendations for integrating mHealth delivery research with the work of designers, engineers and implementers in large-scale delivery programmes

The impact of eHealth on the quality and safety of health care : a systematic overview

There is considerable international interest in exploiting the potential of digital solutions to enhance the quality and safety of health care. Implementations of transformative eHealth technologies are underway globally, often at very considerable cost. In order to assess the impact of eHealth solutions on the quality and safety of health care, and to inform policy decisions on eHealth deployments, we undertook a systematic review of systematic reviews assessing the effectiveness and consequences of various eHealth technologies on the quality and safety of care. Methods and Findings We developed novel search strategies, conceptual maps of health care quality, safety, and eHealth interventions, and then systematically identified, scrutinised, and synthesised the systematic review literature. Major biomedical databases were searched to identify systematic reviews published between 1997 and 2010. Related theoretical, methodological, and technical material was also reviewed. We identified 53 systematic reviews that focused on assessing the impact of eHealth interventions on the quality and/or safety of health care and 55 supplementary systematic reviews providing relevant supportive information. This systematic review literature was found to be generally of substandard quality with regards to methodology, reporting, and utility. We thematically categorised eHealth technologies into three main areas: (1) storing, managing, and transmission of data; (2) clinical decision support; and (3) facilitating care from a distance. We found that despite support from policymakers, there was relatively little empirical evidence to substantiate many of the claims made in relation to these technologies. Whether the success of those relatively few solutions identified to improve quality and safety would continue if these were deployed beyond the contexts in which they were originally developed, has yet to be established. Importantly, best practice guidelines in effective development and deployment strategies are lacking

use of fisheye parrot bebop 2 images for 3d modelling using commercial photogrammetric software

Fisheye camera installed on-board mass market UAS are becoming very popular and it is more and more frequent the use of such platforms for photogrammetric purposes. The interest of wide-angles images for 3D modelling is confirmed by the introduction of fisheye models in several commercial software packages. The paper exploits the different mathematical models implemented in the most famous commercial photogrammetric software packages, highlighting the different processing pipelines and analysing the achievable results in terms of checkpoint residuals, as well as the quality of the delivered 3D point clouds. A two-step approach based on the creation of undistorted images has been tested too. An experimental test has been carried out using a Parrot Bebop 2 UAS by performing a flight over an historical complex located near Piacenza (Northern Italy), which is characterized by the simultaneous presence of horizontal, vertical and oblique surfaces. Different flight configurations have been tested to evaluate the potentiality and possible drawbacks of the previously mentioned UAS platform. Results confirmed that the fisheye images acquired with the Parrot Bebop 2 are suitable for 3D modelling, ensuring accuracies of the photogrammetric blocks of the order of the GSD (about 0.05 m normal to the optic axis in case of a flight height equal to 35 m). The generated point clouds have been compared to a reference scan, acquired by means of a MS60 MultiStation, resulting in differences below 0.05 in all directions

Addressing Inequities in Urban Health: Do Decision-Makers Have the Data They Need? Report from the Urban Health Data Special Session at International Conference on Urban Health Dhaka 2015

Rapid and uncontrolled urbanisation across low and middle-income countries is leading to ever expanding numbers of urban poor, defined here as slum dwellers and the homeless. It is estimated that 828 million people are currently living in slum conditions. If governments, donors and NGOs are to respond to these growing inequities they need data that adequately represents the needs of the urban poorest as well as others across the socio-economic spectrum. We report on the findings of a special session held at the International Conference on Urban Health, Dhaka 2015. We present an overview of the need for data on urban health for planning and allocating resources to address urban inequities. Such data needs to provide information on differences between urban and rural areas nationally, between and within urban communities. We discuss the limitations of data most commonly available to national and municipality level government, donor and NGO staff. In particular we assess, with reference to the WHO’s Urban HEART tool, the challenges in the design of household surveys in understanding urban health inequities. We then present two novel approaches aimed at improving the information on the health of the urban poorest. The first uses gridded population sampling techniques within the design and implementation of household surveys and the second adapts Urban HEART into a participatory approach which enables slum residents to assess indicators whilst simultaneously planning the response. We argue that if progress is to be made towards inclusive, safe, resilient and sustainable cities, as articulated in Sustainable Development Goal 11, then understanding urban health inequities is a vital pre-requisite to an effective response by governments, donors, NGOs and communities

Caspase-2 is upregulated after sciatic nerve transection and its inhibition protects dorsal root ganglion neurons from Apoptosis after serum withdrawal

Sciatic nerve (SN) transection-induced apoptosis of dorsal root ganglion neurons (DRGN) is one factor determining the efficacy of peripheral axonal regeneration and the return of sensation. Here, we tested the hypothesis that caspase-2(CASP2) orchestrates apoptosis of axotomised DRGN both in vivo and in vitro by disrupting the local neurotrophic supply to DRGN. We observed significantly elevated levels of cleaved CASP2 (C-CASP2), compared to cleaved caspase-3 (C-CASP3), within TUNEL+DRGN and DRG glia (satellite and Schwann cells) after SN transection. A serum withdrawal cell culture model, which induced 40% apoptotic death in DRGN and 60% in glia, was used to model DRGN loss after neurotrophic factor withdrawal. Elevated C-CASP2 and TUNEL were observed in both DRGN and DRG glia, with C-CASP2 localisation shifting from the cytosol to the nucleus, a required step for induction of direct CASP2-mediated apoptosis. Furthermore, siRNAmediated downregulation of CASP2 protected 50% of DRGN from apoptosis after serum withdrawal, while downregulation of CASP3 had no effect on DRGN or DRG glia survival. We conclude that CASP2 orchestrates the death of SN-axotomised DRGN directly and also indirectly through loss of DRG glia and their local neurotrophic factor support. Accordingly, inhibiting CASP2 expression is a potential therapy for improving both the SN regeneration response and peripheral sensory recovery

Optimizing DNN Inference on Multi-Accelerator SoCs at Training-time

The demand for executing Deep Neural Networks (DNNs) with low latency and minimal power consumption at the edge has led to the development of advanced heterogeneous Systems-on-Chips (SoCs) that incorporate multiple specialized computing units (CUs), such as accelerators. Offloading DNN computations to a specific CU from the available set often exposes accuracy vs efficiency trade-offs, due to differences in their supported operations (e.g., standard vs. depthwise convolution) or data representations (e.g., more/less aggressively quantized). A challenging yet unresolved issue is how to map a DNN onto these multi-CU systems to maximally exploit the parallelization possibilities while taking accuracy into account. To address this problem, we present ODiMO, a hardware-aware tool that efficiently explores fine-grain mapping of DNNs among various on-chip CUs, during the training phase. ODiMO strategically splits individual layers of the neural network and executes them in parallel on the multiple available CUs, aiming to balance the total inference energy consumption or latency with the resulting accuracy, impacted by the unique features of the different hardware units. We test our approach on CIFAR-10, CIFAR-100, and ImageNet, targeting two open-source heterogeneous SoCs, i.e., DIANA and Darkside. We obtain a rich collection of Paretooptimal networks in the accuracy vs. energy or latency space. We show that ODiMO reduces the latency of a DNN executed on the Darkside SoC by up to 8x at iso-accuracy, compared to manual heuristic mappings. When targeting energy, on the same SoC, ODiMO produced up to 50.8x more efficient mappings, with minimal accuracy drop (< 0.3%)

Hippo pathway effectors control cardiac progenitor cell fate by acting as dynamic sensors of substrate mechanics and nanostructure

Stem cell responsiveness to extracellular matrix (ECM) composition and mechanical cues has been the subject of a number of investigations so far, yet the molecular mechanisms underlying stem cell mechano-biology still need full clarification. Here we demonstrate that the paralog proteins YAP and TAZ exert a crucial role in adult cardiac progenitor cell mechano-sensing and fate decision. Cardiac progenitors respond to dynamic modifications in substrate rigidity and nanopattern by promptly changing YAP/TAZ intracellular localization. We identify a novel activity of YAP and TAZ in the regulation of tubulogenesis in 3D environments and highlight a role for YAP/TAZ in cardiac progenitor proliferation and differentiation. Furthermore, we show that YAP/TAZ expression is triggered in the heart cells located at the infarct border zone. Our results suggest a fundamental role for the YAP/TAZ axis in the response of resident progenitor cells to the modifications in microenvironment nanostructure and mechanics, thereby contributing to the maintenance of myocardial homeostasis in the adult heart. These proteins are indicated as potential targets to control cardiac progenitor cell fate by materials design

The impact of electronic records on patient safety : a qualitative study

BACKGROUND: Our aim was to explore NHS staff perceptions and experiences of the impact on patient safety of introducing a maternity system. METHODS: Qualitative semi-structured interviews were conducted with 19 members of NHS staff who represented a variety of staff groups (doctors, midwives, health care assistants), staff grades (consultant and midwife grades) and wards within a maternity unit. Participants represented a single maternity unit at a NHS teaching hospital in the North of England. Interviews were conducted during the first 12 months of the system being implemented and were analysed thematically. RESULTS: Participants perceived there to be an elevated risk to patient safety during the system's implementation. The perceived risks were attributed to a range of social and technical factors. For example, poor system design and human error which resulted in an increased potential for missing information and inputting error. CONCLUSIONS: The first 12 months of introducing the maternity system was perceived to and in some cases had already caused actual risk to patient safety. Trusts throughout the NHS are facing increasing pressure to become paperless and should be aware of the potential adverse impacts on patient safety that can occur when introducing electronic systems. Given the potential for increased risk identified, recommendations for further research and for NHS trusts introducing electronic systems are proposed