The fabrication of reproducible superconducting scanning tunneling microscope tips

Superconducting scanning tunneling microscope tips have been fabricated with a high degree of reproducibility. The fabrication process relies on sequential deposition of superconducting Pb and a proximity-coupled Ag capping layer onto a Pt/Ir tip. The tips were characterized by tunneling into both normal-metal and superconducting films. The simplicity of the fabrication process, along with the stability and reproducibility of the tips, clear the way for tunneling studies with a well-characterized, scannable superconducting electrode.Comment: 4 pages, 3 figures, REVTeX. Submitted to Rev. Sci. Instru

Assessment of nursing response to a real-time alerting tool for sepsis : A provider survey

An information technology solution to provide a real-time alert to the nursing staff is necessary to assist in identifying patients who may have sepsis and avoid the devastating effects of its late recognition. The objective of this study is to evaluate the perception and adoption of sepsis clinical decision support.Includes bibliographical reference

Efficient Utilization of the Expanded Criteria Donor (ECD) Deceased Donor Kidney Pool: An Analysis of the Effect of Labeling

We investigated the effect of the expanded criteria donor (ECD) label on (i) recovery of kidneys and (ii) acceptance for transplantation given recovery. An ECD is age ≥ 60, or age 50–59 with ≥ 2 of 3 specified comorbidities. Using data from the Scientific Registry of Transplant Recipients from 1999 to 2005, we modeled recovery rates through linear regression and transplantation probabilities via logistic regression, focusing on organs from donors just-younger versus just-older than the ECD age thresholds. We split the sample at July 1, 2002 to determine how decisions changed at the approximate time of implementation of the ECD definition. Before July 2002, the number of recovered kidneys with 0–1 comorbidities dropped at age 60, but transplantation probabilities given recovery did not. After July 2002, the number of recovered kidneys with 0–1 comorbidities rose at age 60, but transplantation probabilities contingent on recovery declined. No similar trends were observed at donor age 50 among donors with ≥ 2 comorbidities. Overall, implementation of the ECD definition coincided with a reversal of an apparent reluctance to recover kidneys from donors over age 59, but increased selectiveness on the part of surgeons/centers with respect to these kidneys.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/78602/1/j.1600-6143.2009.02937.x.pd

A framework to tackle risk identification and presentation challenges in sepsis

Sepsis trajectories, including onset and recovery, can be difficult to assess, but electronic health records (EHRs) can accurately capture sepsis as a dynamic episode.Includes bibliographical reference

FADS3 is a Δ4Z sphingoid base desaturase that contributes to gender differences to the human plasma sphingolipidome

Sphingolipids (SL) are structurally diverse lipids that are defined by the presence of a long chain base (LCB) backbone. Typically, LCBs contain a single Δ4E DB (mostly d18:1), whereas the dienic LCB sphingadienine (d18:2) contains a second DB at Δ14Z position. The enzyme introducing the Δ14Z DB is unknown. We analyzed the LCB plasma profile in a gender-, age-, and BMI-matched subgroup of the CoLaus cohort (n = 658). Sphingadienine levels showed a significant association with gender, being in average ~30% higher in females. A genome-wide association study (GWAS) revealed variants in the fatty-acid desaturase 3 (FADS3) gene to be significantly associated with the plasma d18:2/d18:1 ratio (p = -log 7.9). Metabolic labeling assays, FADS3 overexpression and knockdown approaches, as well as plasma LCB profiling in FADS3-deficient mice confirmed that FADS3 is a bona-fide LCB desaturase and required for the introduction of the Δ14Z double bound. Moreover, we showed that FADS3 is required for the conversion of the atypical cytotoxic 1-deoxysphinganine (1-deoxySA, m18:0) to 1-deoxysphingosine (1-deoxySO, m18:1). HEK293 cells overexpressing FADS3, were more resistant to m18:0 toxicity than WT cells. In summary, using a combination of metabolic profiling and GWAS, we identified FADS3 to be essential for forming Δ14Z DB containing LCBs, such as d18:2 and m18:1. Our results unravel FADS3 as a Δ14Z LCB desaturase, thereby disclosing the last missing enzyme of the SL de novo synthesis pathway

Impacts of climate change on streamflow in the Upper Mississippi River Basin: A regional climate model perspective

Impact of climate change on streamflow in the Upper Mississippi River Basin is evaluated by use of a regional climate model (RCM) coupled with a hydrologic model, Soil and Water Assessment Tool (SWAT). The RCM we used resolves, at least partially, some fine-scale dynamical processes that are important contributors to precipitation in this region and that are not well simulated by global models. The SWAT model was calibrated and validated against measured streamflow data using observed weather data and inputs from the U.S. Environmental Protection Agency Better Assessment Science Integrating Point and Nonpoint Sources (BASINS) geographic information systems/database system. Combined performance of SWAT and RCM was examined using observed weather data as lateral boundary conditions in the RCM. The SWAT and RCM performed well, especially on an annual basis. Potential impacts of climate change on water yield and other hydrologic budget components were then quantified by driving SWAT with current and future scenario climates. Twenty-one percent increase in future precipitation simulated by the RCM produced 18% increase in snowfall, 51% increase in surface runoff, and 43% increase in groundwater recharge, resulting in 50% net increase in total water yield in the Upper Mississippi River Basin on an annual basis. Uncertainty analysis showed that the simulated change in streamflow substantially exceeded model biases of the combined modeling system (with largest bias of 18%). While this does not necessarily give us high confidence in the actual climate change that will occur, it does demonstrate that the climate change “signal” stands out from the climate modeling (global plus regional) and impact assessment modeling (SWAT) “noise.