4,071 research outputs found
Human cytomegalovirus (HCMV) replication dynamics in HCMV-naive and -experienced immunocompromised hosts
Human cytomegalovirus (HCMV) can infect both HCMV-naive and -experienced transplant patients. In this study, the growth rate of HCMV in HCMV-naive hosts (1.82 units/day; 95% confidence interval [CI], 1.44-2.56 units/day) was shown to be significantly faster than the growth rate of virus in HCMV-experienced hosts undergoing recurrent infection (0.61 units/ day; 95% CI, 0.55-0.7 units/day; P93% (95% CI, 89%-98%) is required to eliminate viral growth during infection of HCMV-naive liver transplant recipients, whereas lower efficacy levels are sufficient to reduce the R-0 value to <1 in hosts with prior HCMV immunity
Substitution of Ti3+ and Ti4+ in hibonite (CaAl12O19)
The structures of eight synthetic samples of hibonite, with variable Ti oxidation state and Ti concentration (2.4–15.9 wt% TiO2) that span the range reported for natural hibonite found in meteorites, were determined by Rietveld refinements of neutron powder diffraction data. Ti3+ was found to exclusively occupy the octahedral face-sharing M4 site irrespective of the presence or absence of Ti4+. Ti4+ partitions between the trigonal bipyramidal M2 site and the M4 site. The ratio (Ti4+ on M2):(Ti4+ on M4) appears to be constant for all the samples, with an average of 0.18(2) irrespective of the concentrations of Ti3+ and Ti4+. These substitutional sites were shown to be the most stable configurations for Ti in hibonite from calculations using density functional theory, although the predicted preference of Ti4+ for M4 over M2 is not as strong as is observed. This is attributed to the different Ti contents of the experimental and calculated structures and suggests that the Ti site occupancies might change between these concentrations. Furthermore, it is shown that Ti has a preference to occupy neighboring M4 sites such that Ti-Ti interactions occur with stabilization energies of 83 kJ/mol for Ti3+-Ti3+ and at least 15 kJ/mol for Ti4+-Ti4+. Features in optical spectroscopy and electron spin resonance data from meteoritic and synthetic hibonites that have been used to infer Ti3+/Ti4+ are shown to actually derive from these Ti-Ti interactions. The amount of Ti4+ in hibonite can be determined from the unit-cell parameters if ∑Ti is determined independently. Ti3+/Ti4+ in hibonite may record the oxygen fugacity (fO2) of the early solar nebula, however, the existence of Ti3+-Ti3+ and Ti4+-Ti4+ interactions and the potential for Ti4+-Ti3+ interactions need to be considered when interpreting spectroscopic data in terms of Ti valence state and fO2. Hibonite as a single-mineral oxybarometer must be used with caution due to the potential role of crystal chemistry (including Ti-Ti interactions) to stabilize Ti oxidation states independently of fO2
Ten Years of Experience Training Non-Physician Anesthesia Providers in Haiti.
Surgery is increasingly recognized as an effective means of treating a proportion of the global burden of disease, especially in resource-limited countries. Often non-physicians, such as nurses, provide the majority of anesthesia; however, their training and formal supervision is often of low priority or even non-existent. To increase the number of safe anesthesia providers in Haiti, Médecins Sans Frontières has trained nurse anesthetists (NAs) for over 10 years. This article describes the challenges, outcomes, and future directions of this training program. From 1998 to 2008, 24 students graduated. Nineteen (79%) continue to work as NAs in Haiti and 5 (21%) have emigrated. In 2008, NAs were critical in providing anesthesia during a post-hurricane emergency where they performed 330 procedures. Mortality was 0.3% and not associated with lack of anesthesiologist supervision. The completion rate of this training program was high and the majority of graduates continue to work as nurse anesthetists in Haiti. Successful training requires a setting with a sufficient volume and diversity of operations, appropriate anesthesia equipment, a structured and comprehensive training program, and recognition of the training program by the national ministry of health and relevant professional bodies. Preliminary outcomes support findings elsewhere that NAs can be a safe and effective alternative where anesthesiologists are scarce. Training non-physician anesthetists is a feasible and important way to scale up surgical services resource limited settings
Signatures of Star-planet interactions
Planets interact with their host stars through gravity, radiation and
magnetic fields, and for those giant planets that orbit their stars within
10 stellar radii (0.1 AU for a sun-like star), star-planet
interactions (SPI) are observable with a wide variety of photometric,
spectroscopic and spectropolarimetric studies. At such close distances, the
planet orbits within the sub-alfv\'enic radius of the star in which the
transfer of energy and angular momentum between the two bodies is particularly
efficient. The magnetic interactions appear as enhanced stellar activity
modulated by the planet as it orbits the star rather than only by stellar
rotation. These SPI effects are informative for the study of the internal
dynamics and atmospheric evolution of exoplanets. The nature of magnetic SPI is
modeled to be strongly affected by both the stellar and planetary magnetic
fields, possibly influencing the magnetic activity of both, as well as
affecting the irradiation and even the migration of the planet and rotational
evolution of the star. As phase-resolved observational techniques are applied
to a large statistical sample of hot Jupiter systems, extensions to other
tightly orbiting stellar systems, such as smaller planets close to M dwarfs
become possible. In these systems, star-planet separations of tens of stellar
radii begin to coincide with the radiative habitable zone where planetary
magnetic fields are likely a necessary condition for surface habitability.Comment: Accepted for publication in the handbook of exoplanet
Electro-Magnetic Nucleon Form Factors and their Spectral Functions in Soliton Models
It is demonstrated that in simple soliton models essential features of the
electro-magnetic nucleon form factors observed over three orders of magnitude
in momentum transfer are naturally reproduced. The analysis shows that
three basic ingredients are required: an extended object, partial coupling to
vector mesons, and relativistic recoil corrections. We use for the extended
object the standard skyrmion, one vector meson propagator for both isospin
channels, and the relativistic boost to the Breit frame. Continuation to
timelike leads to quite stable results for the spectral functions in the
regime from the 2- or 3-pion threshold to about two rho masses. Especially the
onset of the continuous part of the spectral functions at threshold can be
reliably determined and there are strong analogies to the results imposed on
dispersion theoretic approaches by the unitarity constraint.Comment: 24 pages, (RevTeX), 5 PS-figures; Data points in fig.2 and
corresponding references added. Final version, to be published in Z.Physik
Scallop swimming kinematics and muscle performance: modelling the effects of "within-animal" variation in temperature sensitivity
Escape behaviour was investigated in Queen scallops (Aequipecten opercularis) acclimated to 5, 10 or 15 degrees C and tested at their acclimation temperature. Scallops are active molluscs, able to escape from predators by jet-propelled swimming using a striated muscle working in opposition to an elastic hinge ligament. The first cycle of the escape response was recorded using high-speed video ( 250 Hz) and whole-animal velocity and acceleration determined. Muscle shortening velocity, force and power output were calculated using measurements of valve movement and jet area, and a simple biomechanical model. The average shortening speed of the adductor muscle had a Q(10) of 2.04, significantly reducing the duration of the jetting phase of the cycle with increased temperature. Muscle lengthening velocity and the overall duration of the clap cycle were changed little over the range 5 - 15 degrees C, as these parameters were controlled by the relatively temperature-insensitive, hinge ligament. Improvements in the average power output of the adductor muscle over the first clap cycle ( 222 vs. 139 W kg(-1) wet mass at 15 and 5 degrees C respectively) were not translated into proportional increases in overall swimming velocity, which was only 32% higher at 15 degrees C ( 0.37m s(-1)) than 5 degrees C (0.28 m s(-1))
Dynein structure and power stroke
Dynein ATPases are microtubule motors that are critical to diverse processes such as vesicle transport and the beating of sperm tails; however, their mechanism of force generation is unknown. Each dynein comprises a head, from which a stalk and a stem emerge. Here we use electron microscopy and image processing to reveal new structural details of dynein c, an isoform from Chlamydomonas reinhardtii flagella, at the start and end of its power stroke. Both stem and stalk are flexible, and the stem connects to the head by means of a linker approximately 10 nm long that we propose lies across the head. With both ADP and vanadate bound, the stem and stalk emerge from the head 10 nm apart. However, without nucleotide they emerge much closer together owing to a change in linker orientation, and the coiled-coil stalk becomes stiffer. The net result is a shortening of the molecule coupled to an approximately 15-nm displacement of the tip of the stalk. These changes indicate a mechanism for the dynein power stroke
Oxide Heterostructures from a Realistic Many-Body Perspective
Oxide heterostructures are a new class of materials by design, that open the
possibility for engineering challenging electronic properties, in particular
correlation effects beyond an effective single-particle description. This short
review tries to highlight some of the demanding aspects and questions,
motivated by the goal to describe the encountered physics from first
principles. The state-of-the-art methodology to approach realistic many-body
effects in strongly correlated oxides, the combination of density functional
theory with dynamical mean-field theory, will be briefly introduced. Discussed
examples deal with prominent Mott-band- and band-band-insulating type of oxide
heterostructures, where different electronic characteristics may be stabilized
within a single architectured oxide material.Comment: 19 pages, 9 figure
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