739 research outputs found
Improving the outcome of infants born at \u3c30 weeks\u27 gestation - a randomized controlled trial of preventative care at home
The Association between Fatal Coronary Heart Disease and Ambient Particulate Air Pollution: Are Females at Greater Risk?
The purpose of this study was to assess the effect of long-term ambient particulate matter (PM) on risk of fatal coronary heart disease (CHD). A cohort of 3,239 nonsmoking, non-Hispanic white adults was followed for 22 years. Monthly concentrations of ambient air pollutants were obtained from monitoring stations [PM < 10 ÎŒm in aerodynamic diameter (PM(10)), ozone, sulfur dioxide, nitrogen dioxide] or airport visibility data [PM < 2.5 ÎŒm in aerodynamic diameter (PM(2.5))] and interpolated to ZIP code centroids of work and residence locations. All participants had completed a detailed lifestyle questionnaire at baseline (1976), and follow-up information on environmental tobacco smoke and other personal sources of air pollution were available from four subsequent questionnaires from 1977 through 2000. Persons with prevalent CHD, stroke, or diabetes at baseline (1976) were excluded, and analyses were controlled for a number of potential confounders, including lifestyle. In females, the relative risk (RR) for fatal CHD with each 10-ÎŒg/m(3) increase in PM(2.5) was 1.42 [95% confidence interval (CI), 1.06â1.90] in the single-pollutant model and 2.00 (95% CI, 1.51â2.64) in the two-pollutant model with O(3). Corresponding RRs for a 10-ÎŒg/m(3) increase in PM(10-2.5) and PM(10) were 1.62 and 1.45, respectively, in all females and 1.85 and 1.52 in postmenopausal females. No associations were found in males. A positive association with fatal CHD was found with all three PM fractions in females but not in males. The risk estimates were strengthened when adjusting for gaseous pollutants, especially O(3), and were highest for PM(2.5). These findings could have great implications for policy regulations
Pain control options for first trimester surgical abortions: a review
Pain control is a significant issue for women undergoing gynecological procedures including first trimester surgical abortion. Pain perception is a complex phenomenon which impacts the selection of analgesia. We present a review on the efficacy of various pain control modalities for first trimester surgical abortion in the clinical setting
Ozone field studies adjacent to a hvdc transmission test line
Field studies of atmospheric ozone concentrations adjacent to high voltage direct current (hvdc) transmission test lines were conducted at the Bonneville Power Administration's (BPA) hvdc Test Facility at The Dalles, Oregon. The transmission lines were operating at voltages from +- 400 to +- 600 kV during the field studies. The downwind ozone plumes were studied using a roving vertical profiling system. Ambient meteorological and test line parameters were also recorded to allow comparison of predicted and observed ozone plumes. For fair weather conditions no ozone plumes were evident. The absence of identifiable changes in ozone concentrations by the energized lines demonstrates the trivial nature of the ozone concentrations from the energized lines for fair weather conditions. Since corona loss from power lines is largest during precipitation, the ozone production is also largest. At the same time, the natural background atmospheric ozone concentrations are depressed by the scavenging effect of the precipitation. Therefore ozone production rates can best be measured during precipitation periods. With the exception of precipitation cases, the vertical profiles of ozone concentration demonstrated no discernible evidence of ozone plumes from the energized conductors. Ozone plumes, if any, were masked in the natural background ozone variability
The SWIFT Gamma-Ray Burst X-Ray Telescope
The Swift Gamma-Ray Burst Explorer is designed to make prompt multi-wavelength observations of Gamma-Ray Bursts and GRB afterglows. The X-ray Telescope enables Swift to determine GRB positions with a few arcseconds accuracy within 100 seconds of the burst onset. The XRT utilizes a mirror set built for JET-X and an XMM-Newton/ EPIC MOS CCD detector to provide a sensitive broad-band (0.2-10 keV) X-ray imager with an effective area of more than 120 sq cm at 1.5 keV, a field of view of 23.6 x 23.6 arcminutes, and an angular resolution of 18 arcseconds (HPD). The detection sensitivity is 2x10(exp 14) erg/sq cm/s in 10(exp 4) seconds. The instrument provides automated source detection and position reporting within 5 seconds of target acquisition. It can also measure the redshifts of GRBs with Iron line emission or other spectral features. The XRT operates in an auto-exposure mode, adjusting the CCD readout mode automatically to optimize the science return as the source intensity fades. The XRT measures spectra and lightcurves of the GRB afterglow beginning about a minute after the burst and follows each burst for days or weeks. We provide an overview of the X-ray Telescope scientific background from which the systems engineering requirements were derived, with specific emphasis on the design and qualification aspects from conception through to launch. We describe the impact on cleanliness and vacuum requirements for the instrument low energy response and to maintain the high sensitivity to the fading signal of the Gamma-ray Bursts
Moving from a Product-Based Economy to a Service-Based Economy for a More Sustainable Future
Traditionally, economic growth and prosperity have been linked with the availability, production and distribution of tangible goods as well as the ability of consumers to acquire such goods. Early evidence regarding this connection dates back to Adam Smith's Wealth of Nations (1776), in which any activity not resulting in the production of a tangible good is characterized as unproductive of any value." Since then, this coupling of economic value and material production has been prevalent in both developed and developing economies throughout the world. One unintended consequence of this coupling has been the exponential increase in the amount of solid waste being generated. The reason is that any production and consumption of material goods eventually generates the equivalent amount of (or even more) waste. Exacerbating this problem is the fact that, with today's manufacturing and supply chain management technologies, it has become cheaper to dispose and replace most products rather than to repair and reuse them. This has given rise to what some call a disposable society." To put things in perspective: In 2012 households in the U.K. generated approximately 22 thousand tons of waste, which amounted to 411 kg of waste generated per person (Department for Environment, Food & Rural Affairs, 2015). During the same time period, households in the U.S. generated 251 million tons of waste, which is equivalent to a person generating approximately 2 kg of waste every day (U.S. Environmental Protection Agency, 2012). Out of these 251 million tons of total waste generated, approximately 20% of the discarded items were categorized as durable goods. The disposal of durable goods is particularly worrisome because they are typically produced using material from non- renewable resources such as iron, minerals, and petroleum-based raw materials
Long-term exposure to outdoor air pollution and the incidence of chronic obstructive pulmonary disease in a national English cohort.
OBJECTIVES: The role of outdoor air pollution in the incidence of chronic obstructive pulmonary disease (COPD) remains unclear. We investigated this question using a large, nationally representative cohort based on primary care records linked to hospital admissions.
METHODS: A cohort of 812â
063 patients aged 40-89â
years registered with 205 English general practices in 2002 without a COPD diagnosis was followed from 2003 to 2007. First COPD diagnoses recorded either by a general practitioner (GP) or on admission to hospital were identified. Annual average concentrations in 2002 for particulate matter with an aerodynamic diameter <10â
”m (PM10) and <2.5â
”m (PM2.5), nitrogen dioxide (NO2), ozone and sulfur dioxide (SO2) at 1â
km(2) resolution were estimated from emission-based dispersion models. Hazard ratios (HRs) per interquartile range change were estimated from Cox models adjusting for age, sex, smoking, body mass index and area-level deprivation. RESULTS: 16â
034 participants (1.92%) received a COPD diagnosis from their GP and 2910 participants (0.35%) were admitted to hospital for COPD. After adjustment, HRs for GP recorded COPD and PM10, PM2.5 and NO2 were close to unity, positive for SO2 (HR=1.07 (95% CI 1.03 to 1.11) per 2.2â
”g/m(3)) and negative for ozone (HR=0.94 (0.89 to 1.00) per 3â
”g/m(3)). For admissions HRs for PM2.5 and NO2 remained positive (HRs=1.05 (0.98 to 1.13) and 1.06 (0.98 to 1.15) per 1.9â
”g/m(3) and 10.7â
”g/m(3), respectively).
CONCLUSIONS: This large population-based cohort study found limited, inconclusive evidence for associations between air pollution and COPD incidence. Further work, utilising improved estimates of air pollution over time and enhanced socioeconomic indicators, is required to clarify the association between air pollution and COPD incidence
Adaptive Mistranslation Accelerates the Evolution of Fluconazole Resistance and Induces Major Genomic and Gene Expression Alterations in Candida albicans
The ASCIZ-DYNLL1 axis promotes 53BP1-dependent non-homologous end joining and PARP inhibitor sensitivity
53BP1 controls a specialized non-homologous end joining (NHEJ) pathway that is essential for adaptive immunity, yet oncogenic in BRCA1 mutant cancers. Intra-chromosomal DNA double-strand break (DSB) joining events during immunoglobulin class switch recombination (CSR) require 53BP1. However, in BRCA1 mutant cells, 53BP1 blocks homologous recombination (HR) and promotes toxic NHEJ, resulting in genomic instability. Here, we identify the protein dimerization hubâDYNLL1âas an organizer of multimeric 53BP1 complexes. DYNLL1 binding stimulates 53BP1 oligomerization, and promotes 53BP1âs recruitment to, and interaction with, DSB-associated chromatin. Consequently, DYNLL1 regulates 53BP1-dependent NHEJ: CSR is compromised upon deletion of Dynll1 or its transcriptional regulator Asciz, or by mutation of DYNLL1 binding motifs in 53BP1; furthermore, Brca1 mutant cells and tumours are rendered resistant to poly-ADP ribose polymerase (PARP) inhibitor treatments upon deletion of Dynll1 or Asciz. Thus, our results reveal a mechanism that regulates 53BP1-dependent NHEJ and the therapeutic response of BRCA1-deficient cancers
Neurobehaviour between birth and 40Â weeksâ gestation in infants born <30Â weeksâ gestation and parental psychological wellbeing: predictors of brain development and child outcomes
BACKGROUND: Infants born <30Â weeksâ gestation are at increased risk of long term neurodevelopmental problems compared with term born peers. The predictive value of neurobehavioural examinations at term equivalent age in very preterm infants has been reported for subsequent impairment. Yet there is little knowledge surrounding earlier neurobehavioural development in preterm infants prior to term equivalent age, and how it relates to perinatal factors, cerebral structure, and later developmental outcomes. In addition, maternal psychological wellbeing has been associated with child development. Given the high rate of psychological distress reported by parents of preterm children, it is vital we understand maternal and paternal wellbeing in the early weeks and months after preterm birth and how this influences the parentâchild relationship and childrenâs outcomes. Therefore this study aims to examine how 1) early neurobehaviour and 2) parental mental health relate to developmental outcomes for infants born preterm compared with infants born at term. METHODS/DESIGN: This prospective cohort study will describe the neurobehaviour of 150 infants born at <30Â weeksâ gestational age from birth to term equivalent age, and explore how early neurobehavioural deficits relate to brain growth or injury determined by magnetic resonance imaging, perinatal factors, parental mental health and later developmental outcomes measured using standardised assessment tools at term, one and two yearsâ corrected age. A control group of 150 healthy term-born infants will also be recruited for comparison of outcomes. To examine the effects of parental mental health on developmental outcomes, both parents of preterm and term-born infants will complete standardised questionnaires related to symptoms of anxiety, depression and post-traumatic stress at regular intervals from the first week of their childâs birth until their childâs second birthday. The parentâchild relationship will be assessed at one and two yearsâ corrected age. DISCUSSION: Detailing the trajectory of infant neurobehaviour and parental psychological distress following very preterm birth is important not only to identify infants most at risk, further understand the parental experience and highlight potential times for intervention for the infant and/or parent, but also to gain insight into the effect this has on parentâchild interaction and child development
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