The Long-term Coercive Effect of State Community Benefit Laws on Hospital Community Health Orientation

This study is an examination of the long-term coercive effect of state community benefit laws (CB Laws) on the provision of community health activities in U.S. acute care hospitals. The sample included all the not-for-profit and investor owned acute care hospitals for which 1994 and 2006 AHA Annual Survey data were available. A panel design was used to longitudinally examine the effect that state CB Laws had on hospital community health orientation activities and the provision of health promotion services, after controlling for the influence of other organizational and environmental variables that might affect these activities and services. The authors found that both CB Law state and non CB Law state hospitals increased their number of orientation activities and promotion services from 1994 to 2006. However, there was no significant difference in the gains in these activities and services between these two groups of hospitals. These results suggest that other environmental and organizational factors may mediate the effect of the state CB Laws over time

Radiation damage to nucleoprotein complexes in macromolecular crystallography

Significant progress has been made in macromolecular crystallography over recent years in both the understanding and mitigation of X-ray induced radiation damage when collecting diffraction data from crystalline proteins. In contrast, despite the large field that is productively engaged in the study of radiation chemistry of nucleic acids, particularly of DNA, there are currently very few X-ray crystallographic studies on radiation damage mechanisms in nucleic acids. Quantitative comparison of damage to protein and DNA crystals separately is challenging, but many of the issues are circumvented by studying pre-formed biological nucleoprotein complexes where direct comparison of each component can be made under the same controlled conditions. Here a model protein-DNA complex C.Esp1396I is employed to investigate specific damage mechanisms for protein and DNA in a biologically relevant complex over a large dose range (2.07-44.63 MGy). In order to allow a quantitative analysis of radiation damage sites from a complex series of macromolecular diffraction data, a computational method has been developed that is generally applicable to the field. Typical specific damage was observed for both the protein on particular amino acids and for the DNA on, for example, the cleavage of base-sugar N1-C and sugar-phosphate C-O bonds. Strikingly the DNA component was determined to be far more resistant to specific damage than the protein for the investigated dose range. At low doses the protein was observed to be susceptible to radiation damage while the DNA was far more resistant, damage only being observed at significantly higher doses

Flexible active compensation based on load conformity factors applied to non-sinusoidal and asymmetrical voltage conditions

This study proposes a flexible active power filter (APF) controller operating selectively to satisfy a set of desired load performance indices defined at the source side. The definition of such indices, and of the corresponding current references, is based on the orthogonal instantaneous current decomposition and conformity factors provided by the conservative power theory. This flexible approach can be applied to single- or three-phase APFs or other grid-tied converters, as those interfacing distributed generators in smart grids. The current controller is based on a modified hybrid P-type iterative learning controller which has shown good steady-state and dynamic performances. To validate the proposed approach, a three-phase four-wire APF connected to a non-linear and unbalanced load has been considered. Experimental results have been generated under ideal and non-ideal voltage sources, showing the effectiveness of the proposed flexible compensation scheme, even for weak grid scenarios

Altering infrared metamaterial performance through metal resonance damping

Infrared metamaterial design is a rapidly developing field and there are increasing demands for effective optimization and tuning techniques. One approach to tuning is to alter the material properties of the metals making up the resonant metamaterial to purposefully introduce resonance frequency and bandwidth damping. Damping in the infrared portion of the spectrum is unique for metamaterials because the frequency is on the order of the inverse of the relaxation time for most noble metals. Metals with small relaxation times exhibit less resonance frequency damping over a greater portion of the infrared than metals with a longer relaxation time and, subsequently, larger dc conductivity. This leads to the unexpected condition where it is possible to select a metal that simultaneously increases a metamaterial\u27s bandwidth and resonance frequency without altering the geometry of the structure. Starting with the classical microwave equation for thin-film resistors, a practical equivalent-circuit model is developed predicting the sensitivity of infrared metamaterials to complex film impedance. Several full-wave electromagnetic models are developed to validate the resonant-circuit model, and excellent agreement is demonstrated between modeled and measured results

Reductive dissolution and metal transport in lake coeur d alenesediments

The benthic sediments in Lake Coeur d Alene, northern Idaho,have been contaminated by metals (primarily Zn, Pb, and Cu) from decadesof upstream mining activities. As part of ongoing research on thebiogeo-chemical cycling of metals in this area, a diffusivereactive-transport model has been developed to simulate metal transportin the lake sediments. The model includes 1-D inorganic diffusivetransport coupled to a biotic reaction network with multiple terminalelectron acceptors under redox disequilibrium conditions. Here, the modelis applied to evaluate the competing effects of heavy-metal mobilizationthrough biotic reductive dissolution of Fe(III) (hydr)oxides, andimmobilization as biogenic sulfide minerals. Results indicate that therelative rates of Fe and sulfate reduction could play an important rolein metal transport through the envi-ronment, and that the formation of(bi)sulfide complexes could significantly enhance metal solubility, aswell as desorption from Fe hydroxides

Progesterone receptor expression contributes to gemcitabine resistance at higher ECM stiffness in breast cancer cell lines

Chemoresistance poses a great barrier to breast cancer treatment and is thought to correlate with increased matrix stiffness. We developed two-dimensional (2D) polyacrylamide (PAA) and three-dimensional (3D) alginate in vitro models of tissue stiffness that mimic the stiffness of normal breast and breast cancer. We then used these to compare cell viability in response to chemotherapeutic treatment. In both 2D and 3D we observed that breast cancer cell growth and size was increased at a higher stiffness corresponding to tumours compared to normal tissue. When chemotherapeutic response was measured, a specific differential response in cell viability was observed for gemcitabine in 2 of the 7 breast cancer cell lines investigated. MCF7 and T-47D cell lines showed gemcitabine resistance at 4 kPa compared to 500 Pa. These cell lines share a common phenotype of progesterone receptor (PGR) expression and, indeed, pre-treatment with the selective progesterone receptor modulator (SPRM) mifepristone abolished resistance to gemcitabine at high stiffness. Our data reveals that combined treatment with SPRMs may therefore help in reducing resistance to gemcitabine in stiffer breast tumours which are PGR positive

Shock wave apparatus for studying minerals at high pressure and impact phenomena on planetary surfaces

Shock wave and experimental impact phenomena research on geological and planetary materials is being carried out using two propellant (18 and 40 mm) guns (up to 2.5 km/sec) and a two‐stage light gas gun (up to 7 km/sec). Equation of state measurements on samples initially at room temperature and at low and high temperatures are being conducted using the 40 mm propellant apparatus in conjunction with Helmholtz coils, and radiative detectors and, in the case of the light gas gun, with streak cameras. The 18 mm propellant gun is used for recovery experiments on minerals, impact on cryogenic targets, and radiative post‐shock temperature measurements