121 research outputs found
Origins of stable isotopic variations in Late Pleistocene horse enamel and bone from Alberta
Oxygen and carbon isotopic measurements of coevally formed bone and tooth enamel bioapatite from a modern equid show that these tissues record drinking water and diet isotopic signals in an identical fashion. Hence, data for both tissues can be combined to track movement, dietary changes, and seasonal variability over the animal’s lifetime, and climatic variability over longer time periods. This tool was tested for horses using ten paired tooth and bone samples to reconstruct conditions in Alberta during the Late Pleistocene. While post-mortem isotopic alteration confounded interpretation of the results, two key findings emerged: (i) pre- and post-Last Glacial Maximum (LGM) time periods based on radiocarbon dates correspond with high and low δ15N collagen values, respectively; and (ii) pre- and post-LGM horses have similar drinking water δ18O and diet δ13C values, suggesting that environmental conditions, including seasonality, were similar across the time periods represented by these samples
Pain in systemic sclerosis
Chronic pain is a healthcare problem that significantly affects the mental health, and the professional and private life of patients. It can complicate many disorders and represents a common symptom of rheumatologic diseases, but the data on its prevalence is still limited. Pain is a ubiquitous problem in systemic sclerosis (SSc). SSc-related pain has been studied on the basis of biomedical models and is considered a symptom caused by the disease activity or previous tissue damage. Effective pain management is a primary goal of the treatment strategy, although this symptom in SSc has not yet been investigated in detail. However, these patients do not all respond adequately to pharmacological pain therapies, therefore in these cases a multimodal approach needs to be adopted
Optical and electronic properties of amorphous silicon dioxide by single and double electron spectroscopy
Abstract An investigation of the optical and electronic properties of amorphous silicon dioxide by means of a combination of reflection electron energy loss spectroscopy (REELS) and secondary electron–electron energy loss coincidence spectroscopy (SE2ELCS) is presented. Optical constants for a-SiO2 were extracted from the REELS measurements and a band gap of 9.1 eV was determined by deconvolution of multiple scattering and fitting the differential inverse inelastic mean free path with a model energy loss function (ELF). The coincidence measurements allow to determine the surface barrier height and the electron affinity was determined to be 0.8 eV. Furthermore, the coincidence measurements show that even in the case of an insulator, plasmon decay is the main mechanism for generation of secondary electrons
Integration of leadership training into a problem/case-based learning program for first- and second-year medical students.
Purpose: The evolution of health care systems in response to societal and financial pressures has changed care delivery models, which presents new challenges for physicians. Leadership training is increasingly being recognized as an essential component of medical education training to prepare physicians to meet these needs. Unfortunately, most medical schools do not include leadership training. It has been suggested that a longitudinal and integrated approach to leadership training should be sought. We hypothesized that integration of leadership training into our hybrid problem-based learning (PBL)/case-based learning (CBL) program, Patient-Centered Explorations in Active Reasoning, Learning and Synthesis (PEARLS), would be an effective way for medical students to develop leadership skills without the addition of curricular time.
Methods: We designed a unique leadership program in PEARLS in which 98 medical students participated during each of their six courses throughout the first 2 years of school. A program director and trained faculty facilitators educated students and coached them on leadership development throughout this time. Students were assessed by their facilitator at the end of every course on development of leadership skills related to teamwork, meaningful self-assessment, process improvement, and thinking outside the box.
Results: Students consistently improved their performance from the first to the final course in all four leadership parameters evaluated. The skills that demonstrated the greatest change were those pertaining to thinking outside the box and process improvement.
Conclusion: Incorporation of a longitudinal and integrated approach to leadership training into an existing PBL/CBL program is an effective way for medical students to improve their leadership skills without the addition of curricular time. These results offer a new, time-efficient option for leadership development in schools with existing PBL/CBL programs
Energy Dissipation of Fast Electrons in Polymethylmetacrylate (PMMA): Towards a Universal Curve for Electron Beam Attenuation in Solids for Energies between ~0 eV and 100 keV
Wolfgang S.M. Werner, Florian Simperl, Felix Bloedorn, Julian Brunner,
Johannes Kero, Alessandra Bellissimo and Olga Ridzel
Spectroscopy of correlated electron pairs was employed to investigate the
energy dissipation process as well as the transport and the emission of low
energy electrons on a polymethylmetracylate (PMMA) surface, providing secondary
electron (SE) spectra causally related to the energy loss of the primary
electron. Two groups of electrons are identified in the cascade of slow
electrons, corresponding to different stages in the energy dissipation process.
For both groups, the characteristic lengths for attenuation due to collective
excitations and momentum relaxation are quantified and are found to be
distinctly different: l1=(12.0+/-2) Angstroem and l2=(61.5+/-11) Angstroem. The
results strongly contradict the commonly employed model of exponential
attenuation with the electron inelastic mean free path (IMFP) as characteristic
length, but essentially agree with a theory used for decades in astrophysics
and neutron transport, albeit with characteristic lengths expressed in units of
Angstroems rather than lightyears.Comment: 6 pages 5 figure
Selfishness among healthcare workers and nosocomial infections: a causal relationship?
Innovative eco-friendly hydrogel film for berberine delivery in skin applicationsâ€
Hydrogel formulations (masks or patches, without tissue support) represent the new frontier for customizable skin beauty and health. The employment of these materials is becoming popular in wound dressing, to speed up the healing process while protecting the affected area, as well as to provide a moisturizing reservoir, control the inflammatory process and the onset of bacterial development. Most of these hydrogels are acrylic-based at present, not biodegradable and potentially toxic, due to acrylic monomers residues. In this work, we selected a new class of cellulose-derived and biodegradable hydrogel films to incorporate and convey an active compound for dermatological issues. Films were obtained from a combination of different polysaccharides and clays, and berberine hydrochloride, a polyphenolic molecule showing anti-inflammatory, immunomodulatory, antibacterial and antioxidant properties, was chosen and then embedded in the hydrogel films. These innovative hydrogel-based systems were characterized in terms of water uptake profile, in vitro cytocompatibility and skin permeation kinetics by Franz diffusion cell. Berberine permeation fitted well to Korsmeyer–Peppas kinetic model and achieved a release higher than 100 µg/cm2 within 24 h. The latter study, exploiting a reliable skin model membrane, together with the biological assessment, gained insights into the most promising formulation for future investigations
Secondary-electron emission induced by in vacuo surface excitations near a polycrystalline Al surface
The double-differential spectrum of coincidences between backscattered electrons and secondary electrons (SEs) emitted from a polycrystalline Al surface bombarded with 100-eV electrons was measured. For energy losses of the scattered electron in between the work function of Al and the bulk plasmon energy, a sharp peak is observed in the SE spectra, corresponding to ejection of a single electron near the Fermi edge receiving the full energy loss and momentum of the primary electron. This process predominantly takes place when the primary electron suffers a surface energy loss in vacuum, and leads to SE ejection from the very surface. At energy losses just above the bulk plasmon energy, a sharp transition is observed, corresponding to a sudden increase in the depth of ejection. The latter is a direct consequence of the complementarity of surface and bulk plasmons, the so-called Begrenzungs effect
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A pilot investigation to optimise methods for a future satiety preload study
Preload studies are used to investigate the satiating effects of foods and food ingredients. However, the design of preload studies is complex, with many methodological considerations influencing appetite responses. The aim of this pilot investigation was to determine acceptability, and optimise methods, for a future satiety preload study. Specifically, we investigated the effects of altering (i) energy intake at a standardised breakfast (gender-specific or non-gender specific), and (ii) the duration between mid-morning preload and ad libitum lunch meal, on morning appetite scores and energy intake at lunch. Participants attended a single study visit. Female participants consumed a 214-kcal breakfast (n = 10) or 266-kcal breakfast (n = 10), equivalent to 10% of recommended daily energy intakes for females and males, respectively. Male participants (n = 20) consumed a 266-kcal breakfast. All participants received a 250-ml orange juice preload 2 h after breakfast. The impact of different study timings was evaluated in male participants, with 10 males following one protocol (protocol 1) and 10 males following another (protocol 2). The duration between preload and ad libitum lunch meal was 2 h (protocol 1) or 2.5 h (protocol 2), with the ad libitum lunch meal provided at 12.00 or 13.00, respectively. All female participants followed protocol 2. Visual analogue scale (VAS) questionnaires were used to assess appetite responses and food/drink palatability. Correlation between male and female appetite scores was higher with the provision of a gender-specific breakfast, compared to non-gender-specific breakfast (Pearson correlation of 0.747 and 0.479, respectively). No differences in subjective appetite or ad libitum energy intake were found between protocols 1 and 2. VAS mean ratings of liking, enjoyment, and palatability were all > 66 out of 100 mm for breakfast, preload, and lunch meals. The findings of this pilot study confirm the acceptability of this methodology for future satiety preload studies. Appetite scores increased from preload to ad libitum lunch meal; however, no specific differences were found between protocols. The results highlight the importance of considering energy intake prior to preload provision, with a gender-specific breakfast improving the correlation between male and female appetite score responses to a morning preload
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