rLOAD: does sex mediate the effect of acute antiplatelet loading on stroke outcome.

BackgroundBiologic sex can influence response to pharmacologic therapy. The purpose of this proof-of-concept study was to evaluate the medicating effects of estrogen in the efficacy of acute antiplatelet loading therapy on stroke outcome in the rabbit small clot embolic model.MethodsFemale and male (20/group) New Zealand White rabbits were embolized to produce embolic stroke by injecting small blood clots into the middle cerebral artery via an internal carotid artery catheter. Two hours after embolization, rabbits were treated with standard dose antiplatelet loading (aspirin 10 mg/kg plus clopidogrel 10 mg/kg). Primary outcome measures were platelet inhibition, behavioral outcome P 50 (the weight of microclots (mg) that produces neurologic dysfunction in 50% of a group of animals), and effect of endogenous estrogen on outcome.ResultsFor the first time in a non-rodent model of stroke, it was found that higher endogenous estrogen levels resulted in significantly better behavioral outcome in female subjects (r s -0.70, p < 0.011). Platelet inhibition in response to collagen, arachidonic acid, and adenosine diphosphate (ADP) was not significantly different in females with higher vs. lower estrogen levels.ConclusionsBehavioral outcomes are improved with females with higher endogenous estrogen levels treated with standard dose antiplatelet loading. This is the first non-rodent study to demonstrate that higher endogenous estrogen levels in female rabbits appear to be neuroprotective in ischemic stroke. This research supports the further study of the effect of endogenous estrogen levels on outcome with standard dose antiplatelet loading in stroke patients not eligible for revascularization therapies

Modelling the response of a highly eutrophic lake to reductions in external and internal nutrient loading

The reduction of macronutrients to levels that limit primary production is often a critical element of mitigating eutrophication and reducing the potential for algal blooms. Lake Okaro has remained highly eutrophic despite an intensive catchment and in-lake restoration programme, including implementation of a constructed wetland, riparian protection, an alum application and application of a modified zeolite mineral (Z2G1) to reduce internal nutrient loading. A one-dimensional process-based ecosystem model (DYRESM-CAEDYM) was used in this study to investigate the need for further nutrient loading reductions of both nitrogen (N) and phosphorus (P). The model was calibrated against field data for a 2-year period and validated over two separate 1-year periods. Model simulations suggest that the trophic status of the lake, measured quantitatively with the Trophic Level Index (TLI), could shift from highly eutrophic to mesotrophic with external and internal loads of both N and P reduced by 75-90%. The magnitude of the nutrient load reductions is indicative of a major challenge in being able to effect transitions across trophic state categories for eutrophic lakes

The Settlement of Industrial Disputes in Great Britain

The external phosphorus (P) loading has been halved, but the P content in the water column and the area of anoxic bottoms in Baltic proper has increased during the last 30 years. This can be explained by a temporary internal source of dissolved inorganic phosphorus (DIP) that is turned on when the water above the bottom sediment becomes anoxic. A load-response model, explaining the evolution from 1980 to 2005, suggests that the average specific DIP flux from anoxic bottoms in the Baltic proper is about 2.3 g P m(-2) year(-1). This is commensurable with fluxes estimated in situ from anoxic bottoms in the open Baltic proper and from hydrographic data in the deep part of Bornholm Basin. Oxygenation of anoxic bottoms, natural or manmade, may quickly turn off the internal P source from anoxic bottoms. This new P-paradigm should have far-reaching implications for abatement of eutrophication in the Baltic proper.Funding Agencies|Swedish EPA [NV 08/302 F-255-08]</p

Temperature and Relative Humidity Inside Trailers During Finishing Pig Loading and Transport in Cold and Mild Weather

The effect of bedding levels and trailer compartment on internal trailer temperature and relative humidity (RH) during loading and transport of finishing pigs was evaluated in cold and mild weather. Three levels of bedding were used in each experiment: 0.6 m3, 1.2 m3, and 2.4 m3. In mild weather, internal temperatures were lower when 1.2 m3 or 2.4 m3 of bedding were used during loading and transport compared to 0.6 m3 (P \u3c 0.05). Internal trailer temperature increased in a quadratic fashion in the top front compartment when 1.2 m3 was used (P \u3c 0.05), and in a linear fashion in the top rear compartment when 2.4 m3 were used in cold weather (P \u3c 0.05). In mild weather, temperature increased linearly in the top front compartment with heavy bedding levels. Relative humidity increased in a linear fashion in the top front compartment with 0.6 m3, bottom front with 1.2 m3, and top front with 1.2 m3 in cold weather (P \u3c 0.05). In general, temperature and RH increased as bedding levels increased in both cold and mild temperatures. Excess bedding can absorb more moisture, resulting in transport loss and decreased animal welfare

A biomechanical assessment of superior shoulder translation after reconstruction of anterior glenoid bone defects: The Latarjet procedure versus allograft reconstruction

BACKGROUND: The coracoacromial ligament (CAL) is an important restraint to superior shoulder translation. The effect of CAL release on superior stability following the Latarjet is unknown; therefore, our purpose was to compare the effect of two Latarjet techniques and allograft reconstruction on superior instability. MATERIALS AND METHODS: Eight cadaveric specimens were tested on a simulator. Superior translation was monitored following an axial force in various glenohumeral rotations (neutral, internal, and external) with and without muscle loading. Three intact CAL states were tested (intact specimen, 30% glenoid bone defect, and allograft reconstruction) and two CAL deficient states (classic Latarjet (classicLAT) and congruent-arc Latarjet (congruentLAT)). RESULTS: In neutral without muscle loading, a significant increase in superior translation occurred with the classicLAT as compared to 30% defect (P = 0.046) and allograft conditions (P = 0.041). With muscle loading, the classicLAT (P = 0.005, 0.002) and the congruentLAT (P = 0.018, 0.021) had significantly greater superior translation compared to intact and allograft, respectively. In internal rotation, only loaded tests produced significant results; specifically, classicLAT increased translation compared to all intact CAL states (P < 0.05). In external rotation, only unloaded tests produced significant results with classicLAT and congruentLAT allowing greater translations than intact (P ≤ 0.028). For all simulations, the allograft was not significantly different than intact (P > 0.05) and no differences (P = 1.0) were found between classicLAT and congruentLAT. DISCUSSION: In most simulations, CAL release with the Latarjet lead to increased superior humeral translation. CONCLUSION: The choice of technique for glenoid bone loss reconstruction has implications on the magnitude of superior humeral translation. This previously unknown effect requires further study to determine its clinical and kinematic outcomes

Validation of the Thai version of the family reported outcome measure (FROM-16)© to assess the impact of disease on the partner or family members of patients with cancer

© The Author(s). 2019Background: Cancer not only impairs a patient's physical and psychosocial functional behaviour, but also contributes to negative impact on family members' health related quality of life. Currently, there is an absence of a relevant tool in Thai with which to measure such impact. The aim of this study was to translate and validate the Family Reported Outcome Measure (FROM-16) in Thai cancer patients' family members. Methods: Thai version of FROM-16 was generated by interactive forward-backward translation process following standard guidelines. This was tested for psychometric properties including reliability and validity, namely content validity, concurrent validity, known group validity, internal consistency, exploratory and confirmatory factor analysis. Construct validity was examined by comparing the Thai FROM-16 version with the WHOQOL-BREF-THAI. Results: The internal consistency reliability was strong (Cronbach's alpha = 0.86). A Negative moderate correlation between the Thai FROM-16 and WHOQOL-BREF-THAI was observed (r = - 0.4545, p < 0.00), and known group validity was proved by a statistically significant higher score in family members with high burden of care and insufficient income. The factor analysis supported both 3-factor and 2-factor loading model with slight difference when compared with the original version. Conclusions: The Thai FROM-16 showed good reliability and validity in Thai family members of patients with cancer. A slight difference in factor analysis results compared to the original version could be due to cross-culture application.Peer reviewedFinal Published versio

Direct shock wave loading of Stishovite to 235 GPa: Implications for perovskite stability relative to an oxide assemblage at lower mantle conditions

Pure stishovite and coesite samples with zero porosity and dimensions appropriate for planar shock wave experiments have been synthesized with multi-anvil high-pressure techniques. The equation of state of stishovite is obtained by direct shock wave loading up to 235 GPa: K_(0T) = 306 ± 5 GPa and K'_(0T) = 5.0 ± 0.2 where K_(0T) and K'_(0T) are ambient bulk modulus and its pressure derivative, respectively. The Hugoniots (shock equations of state) for stishovite, coesite and quartz achieve widely differing internal energy states at equal volume and therefore allow us to determine the Gruneisen parameter of stishovite. On the basis of the resulting P-V-T equation of state for stishovite and previous studies on other phases on the MgO-SiO_2 binary, the breakdown reaction of MgSiO_3-perovskite to MgO and SiO_2 was calculated. Our calculations show that perovskite is thermodynamically stable relative to the stishovite and periclase assemblage at lower mantle conditions. We obtain similar results for a range of models, despite the appreciable differences among these experiment-based thermodynamic parameters

Guiding principles for the development and application of solid-phase phosphorus adsorbents for freshwater ecosystems

While a diverse array of phosphorus (P)-adsorbent materials is currently available for application to freshwater aquatic systems, selection of the most appropriate P-adsorbents remains problematic. In particular, there has to be a close correspondence between attributes of the P-adsorbent, its field performance, and the management goals for treatment. These management goals may vary from a rapid reduction in dissolved P to address seasonal enrichments from internal loading, targeting external fluxes due to anthropogenic sources, or long term inactivation of internal P inventories contained within bottom sediments. It also remains a challenge to develop new methods and materials that are ecologically benign and cost-effective. We draw on evidence in the literature and the authors’ personal experiences in the field, to summarise the attributes of a range of P-adsorbent materials. We offer 'guiding principles' to support practical use of existing materials and outline key development needs for new materials

Analysis and simulation of nutrient retention and management for a lowland river-lake system

International audienceIn the context of the European Water Framework Directive, we studied the possible impact of reduced emissions on phosphorus and nitrogen concentrations in a lowland river-lake system (Havel River, Germany). As a prerequisite, we quantified the retention of nutrients in the river from mass balances and deduced its seasonal variation. We detected that about 30% of the total nitrogen input is retained within the surveyed river section. In contrast, phosphorus release from sediments was shown to cause a considerable increase in present P concentrations. Average net phosphorus release rates of about 20 mg P m?2 d?1 in late summer were estimated for the Havel Lakes. Based on the observed patterns of N retention and P release we parametrized a newly developed water quality simulation program (TRAM), which allows alternative model approaches of different complexity to be implemented and tested. To account for the future trend of internal P loading, the phosphorus excess in lake sediments was estimated from core samples and included in the model as a state variable. For analyzing scenarios of reduced nutrient emissisions, the water quality simulation program was linked to mesoscale hydrological catchment models for the first time. From scenario simulations we conclude that internal P loading is likely to counteract efforts of emission control for decades. Even by significant reductions in external P loads, a persistent phosphorus limitation of primary production can hardly be established in the analyzed time frame of 13 years. Though in the short run a continued reduction in nitrogen loads appears to be the more promising approach of eutrophication management, we recommend enhanced efforts to diminish both N and P emissions

Limit, shakedown and ratchet analyses of defective pipeline under internal pressure and cyclic thermal loading

In this study, the limit load, shakedown and ratchet limit of a defective pipeline subjected to constant internal pressure and a cyclic thermal gradient are analyzed. Ratchet limit and maximum plastic strain range are solved by employing the new Linear Matching Method (LMM) for the direct evaluation of the ratchet limit. Shakedown and ratchet limit interaction diagrams of the defective pipeline identifying the regions of shakedown, reverse plasticity, ratcheting and plastic collapse mechanism are presented and parametric studies involving different types and dimensions of part-through slot in the defective pipeline are investigated. The maximum plastic strain range over the steady cycle with different cyclic loading combinations is evaluated for a low cycle fatigue assessment. The location of the initiation of a fatigue crack for the defective pipeline with different slot type is determined. The proposed linear matching method provides a general-purpose technique for the evaluation of these key design limits and the plastic strain range for the low cycle fatigue assessment. The results for the defective pipeline shown in the paper confirm the applicability of this procedure to complex 3-D structures