187 research outputs found
Surface Induced Order in Liquid Metals and Binary Alloys
Measurements of the surface x-ray scattering from several pure liquid metals
(Hg, Ga, and In) and from three alloys (Ga-Bi, Bi-In, and K-Na) with different
heteroatomic chemical interactions in the bulk phase are reviewed.
Surface-induced layering is found for each elemental liquid metal. The surface
structure of the K-Na alloy resembles that of an elemental liquid metal. Bi-In
displays pair formation at the surface. Surface segregation and a wetting film
are found for Ga-Bi.Comment: 10 pages, 3 fig, published in Journal of Physics: Condensed Matte
Microscopic Surface Structure of Liquid Alkali Metals
We report an x-ray scattering study of the microscopic structure of the
surface of a liquid alkali metal. The bulk liquid structure factor of the
eutectic K67Na33 alloy is characteristic of an ideal mixture, and so shares the
properties of an elemental liquid alkali metal. Analysis of off-specular
diffuse scattering and specular x-ray reflectivity shows that the surface
roughness of the K-Na alloy follows simple capillary wave behavior with a
surface structure factor indicative of surface induced layering. Comparison of
thelow-angle tail of the K67Na33 surface structure factor with the one measured
for liquid Ga and In previously suggests that layering is less pronounced in
alkali metals. Controlled exposure of the liquid to H2 and O2 gas does not
affect the surface structure, indicating that oxide and hydride are not stable
at the liquid surface under these experimental conditions.Comment: 12 pages, 3 figures, published in Phys. Rev.
Tracking sickness through social networks - the practical use of social network mapping in supporting the management of an E. coli O157 outbreak in a primary school in London.
This paper describes the practical use of social network diagrams in the management of an outbreak of Escherichia coli O157 (VTEC) in a primary school in London. The diagrams were created during the outbreak to establish the extent and nature of person-to-person transmission in the cases and their contacts. The diagrams supported a tailored public health action, and hence aided in the control of the outbreak. We conclude that for selected infectious diseases, social network diagrams can provide a valuable tool in the management of an outbreak
Liver Enzyme Abnormalities and Associated Risk Factors in HIV Patients on Efavirenz-Based HAART with or without Tuberculosis Co-Infection in Tanzania.
To investigate the timing, incidence, clinical presentation, pharmacokinetics and pharmacogenetic predictors for antiretroviral and anti-tuberculosis drug induced liver injury (DILI) in HIV patients with or without TB co-infection. A total of 473 treatment naΓ―ve HIV patients (253 HIV only and 220 with HIV-TB co-infection) were enrolled prospectively. Plasma efavirenz concentration and CYP2B6*6, CYP3A5*3, *6 and *7, ABCB1 3435C/T and SLCO1B1 genotypes were determined. Demographic, clinical and laboratory data were collected at baseline and up to 48 weeks of antiretroviral therapy. DILI case definition was according to Council for International Organizations of Medical Sciences (CIOMS). Incidence of DILI and identification of predictors was evaluated using Cox Proportional Hazards Model. The overall incidence of DILI was 7.8% (8.3 per 1000 person-week), being non-significantly higher among patients receiving concomitant anti-TB and HAART (10.0%, 10.7 per 1000 person-week) than those receiving HAART alone (5.9%, 6.3 per 1000 person-week). Frequency of CYP2B6*6 allele (p = 0.03) and CYP2B6*6/*6 genotype (p = 0.06) was significantly higher in patients with DILI than those without. Multivariate cox regression model indicated that CYP2B6*6/*6 genotype and anti-HCV IgG antibody positive as significant predictors of DILI. Median time to DILI was 2 weeks after HAART initiation and no DILI onset was observed after 12 weeks. No severe DILI was seen and the gain in CD4 was similar in patients with or without DILI. Antiretroviral and anti-tuberculosis DILI does occur in our setting, presenting early following HAART initiation. DILI seen is mild, transient and may not require treatment interruption. There is good tolerance to HAART and anti-TB with similar immunological outcomes. Genetic make-up mainly CYP2B6 genotype influences the development of efavirenz based HAART liver injury in Tanzanians
Automatic discontinuation of isolation precautions and electronic alerts of MDRO positive patients: safe or sorry?
Surface layering of liquids: The role of surface tension
Recent measurements show that the free surfaces of liquid metals and alloys
are always layered, regardless of composition and surface tension; a result
supported by three decades of simulations and theory. Recent theoretical work
claims, however, that at low enough temperatures the free surfaces of all
liquids should become layered, unless preempted by bulk freezing. Using x-ray
reflectivity and diffuse scattering measurements we show that there is no
observable surface-induced layering in water at T=298 K, thus highlighting a
fundamental difference between dielectric and metallic liquids. The
implications of this result for the question in the title are discussed.Comment: 5 pages, 4 figures, to appear in Phys. Rev. B. 69 (2004
Surface Structure of Liquid Metals and the Effect of Capillary Waves: X-ray Studies on Liquid Indium
We report x-ray reflectivity (XR) and small angle off-specular diffuse
scattering (DS) measurements from the surface of liquid Indium close to its
melting point of C. From the XR measurements we extract the surface
structure factor convolved with fluctuations in the height of the liquid
surface. We present a model to describe DS that takes into account the surface
structure factor, thermally excited capillary waves and the experimental
resolution. The experimentally determined DS follows this model with no
adjustable parameters, allowing the surface structure factor to be deconvolved
from the thermally excited height fluctuations. The resulting local electron
density profile displays exponentially decaying surface induced layering
similar to that previously reported for Ga and Hg. We compare the details of
the local electron density profiles of liquid In, which is a nearly free
electron metal, and liquid Ga, which is considerably more covalent and shows
directional bonding in the melt. The oscillatory density profiles have
comparable amplitudes in both metals, but surface layering decays over a length
scale of \AA for In and \AA for Ga. Upon controlled
exposure to oxygen, no oxide monolayer is formed on the liquid In surface,
unlike the passivating film formed on liquid Gallium.Comment: 9 pages, 5 figures; submitted to Phys. Rev.
Observation of surface layering in a nonmetallic liquid
Oscillatory density profiles (layers) have previously been observed at the
free surfaces of liquid metals, but not in other isotropic liquids. We have
used x-ray reflectivity to study a molecular liquid,
tetrakis(2-ethylhexoxy)silane. When cooled to T/Tc~0.25 (well above the
freezing point for this liquid), density oscillations appear at the surface.
Lateral order within the layers is liquid-like. Our results confirm theoretical
predictions that a surface-layered state will appear even in dielectric liquids
at sufficiently low temperatures, if not preempted by freezing.Comment: accepted for publication in Phys. Rev. Lett. 15 pages 4 figure
Microscopic View on Short-Range Wetting at the Free Surface of the Binary Metallic Liquid Gallium-Bismuth: An X-ray Reflectivity and Square Gradient Theory Study
We present an x-ray reflectivity study of wetting at the free surface of the
binary liquid metal gallium-bismuth (Ga-Bi) in the region where the bulk phase
separates into Bi-rich and Ga-rich liquid phases. The measurements reveal the
evolution of the microscopic structure of wetting films of the Bi-rich,
low-surface-tension phase along different paths in the bulk phase diagram. A
balance between the surface potential preferring the Bi-rich phase and the
gravitational potential which favors the Ga-rich phase at the surface pins the
interface of the two demixed liquid metallic phases close to the free surface.
This enables us to resolve it on an Angstrom level and to apply a mean-field,
square gradient model extended by thermally activated capillary waves as
dominant thermal fluctuations. The sole free parameter of the gradient model,
i.e. the so-called influence parameter, , is determined from our
measurements. Relying on a calculation of the liquid/liquid interfacial tension
that makes it possible to distinguish between intrinsic and capillary wave
contributions to the interfacial structure we estimate that fluctuations affect
the observed short-range, complete wetting phenomena only marginally. A
critical wetting transition that should be sensitive to thermal fluctuations
seems to be absent in this binary metallic alloy.Comment: RevTex4, twocolumn, 15 pages, 10 figure
The incidence of liver injury in Uyghur patients treated for TB in Xinjiang Uyghur autonomous region, China, and its association with hepatic enzyme polymorphisms nat2, cyp2e1, gstm1 and gstt1.
BACKGROUND AND OBJECTIVE: Of three first-line anti-tuberculosis (anti-TB) drugs, isoniazid is most commonly associated with hepatotoxicity. Differences in INH-induced toxicity have been attributed to genetic variability at several loci, NAT2, CYP2E1, GSTM1and GSTT1, that code for drug-metabolizing enzymes. This study evaluated whether the polymorphisms in these enzymes were associated with an increased risk of anti-TB drug-induced hepatitis in patients and could potentially be used to identify patients at risk of liver injury. METHODS AND DESIGN: In a cross-sectional study, 2244 tuberculosis patients were assessed two months after the start of treatment. Anti-TB drug-induced liver injury (ATLI) was defined as an ALT, AST or bilirubin value more than twice the upper limit of normal. NAT2, CYP2E1, GSTM1 and GSTT1 genotypes were determined using the PCR/ligase detection reaction assays. RESULTS: 2244 patients were evaluated, there were 89 cases of ATLI, a prevalence of 4% 9 patients (0.4%) had ALT levels more than 5 times the upper limit of normal. The prevalence of ATLI was greater among men than women, and there was a weak association with NAT2*5 genotypes, with ATLI more common among patients with the NAT2*5*CT genotype. The sensitivity of the CT genotype for identifying patients with ATLI was 42% and the positive predictive value 5.9%. CT ATLI was more common among slow acetylators (prevalence ratio 2.0 (95% CI 0.95,4.20) )compared to rapid acetylators. There was no evidence that ATLI was associated with CYP2E1 RsaIc1/c1genotype, CYP2E1 RsaIc1/c2 or c2/c2 genotypes, or GSTM1/GSTT1 null genotypes. CONCLUSIONS: In Xinjiang Uyghur TB patients, liver injury was associated with the genetic variant NAT2*5, however the genetic markers studied are unlikely to be useful for screening patients due to the low sensitivity and low positive predictive values for identifying persons at risk of liver injury
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