226 research outputs found
Disordered driven lattice gases with boundary reservoirs and Langmuir kinetics
The asymmetric simple exclusion process with additional Langmuir kinetics,
i.e. attachment and detachment in the bulk, is a paradigmatic model for
intracellular transport. Here we study this model in the presence of randomly
distributed inhomogeneities ('defects'). Using Monte Carlo simulations, we find
a multitude of coexisting high- and low-density domains. The results are
generic for one-dimensional driven diffusive systems with short-range
interactions and can be understood in terms of a local extremal principle for
the current profile. This principle is used to determine current profiles and
phase diagrams as well as statistical properties of ensembles of defect
samples.Comment: submitted for publishin
The varying role of the GP in the pathway between colonoscopy and surgery for colorectal cancer: a retrospective cohort study
Extent: 11p.Objectives: To describe general practitioner (GP) involvement in the treatment referral pathway for colorectal cancer (CRC) patients. Design: A retrospective cohort analysis of linked data. Setting: A population-based sample of CRC patients diagnosed from August 2004 to December 2007 in New South Wales, Australia, using the 45 and Up Study, cancer registry diagnosis records, inpatient hospital records and Medicare claims records. Participants: 407 CRC patients who had a colonoscopy followed by surgery. Primary outcome measures: Patterns of GP consultations between colonoscopy and surgery (ie, between diagnosis and treatment). We investigated whether consulting a GP presurgery was associated with time to surgery, postsurgical GP consultations or rectal cancer cases having surgery in a centre with radiotherapy facilities. Results: Of the 407 patients, 43% (n=175) had at least one GP consultation between colonoscopy and surgery. The median time from colonoscopy to surgery was 27 days for those with an intervening GP consultation and 15 days for those without the consultation. 55% (n=223) had a GP consultation up to 30 days postsurgery; it was more common in cases of patients who consulted a GP presurgery than for those who did not (65% and 47%, respectively, adjusted OR 2.71, 95% CI 1.50 to 4.89, p=0.001). Of the 142 rectal cancer cases, 23% (n=33) had their surgery in a centre with radiotherapy facilities, with no difference between those who did and did not consult a GP presurgery (21% and 25% respectively, adjusted OR 0.84, 95% CI 0.27 to 2.63, p=0.76). Conclusions: Consulting a GP between colonoscopy and surgery was associated with a longer interval between diagnosis and treatment, and with further GP consultations postsurgery, but for rectal cancer cases it was not associated with treatment in a centre with radiotherapy facilities. GPs might require a more defined and systematic approach to CRC management.David Goldsbury, Mark Harris, Shane Pascoe, Michael Barton, Ian Olver, Allan Spigelman, Justin Beilby, Craig Veitch, David Weller, Dianne L O'Connel
Using a chronic hepatitis B Registry to support population-level liver cancer prevention in Sydney, Australia
Background: Approximately 1% of Australians have chronic hepatitis B (CHB), which disproportionately affects people born in hepatitis B-endemic countries. Currently, approximately half of the people affected remain undiagnosed and antiviral treatment uptake is suboptimal (~5%). This increases the likelihood of developing end-stage disease complications, particularly hepatocellular cancer (HCC), and largely accounts for the significant increases in HCC incidence and mortality in Australia over the last decades. As our previous economic modeling suggested that CHB screening and treatment is cost-effective, we tested the feasibility of a primary carebased model of CHB diagnosis and management to prevent HCC.
Materials and methods: From 2009 to 2016, the B Positive program trialed a CHB screening and management program in an area of high disease prevalence in Sydney, Australia. Trained local primary care providers (general practitioners) screened and managed their CHB patients using a purpose-built CHB Registry and a risk stratification algorithm, which allocated patients to ongoing primary care-based management or specialist referral.
Results: The program enrolled and followed up \u3e1,500 people (25% of the target population). Their median age was 48 years, with most participants being born in China (50%) or Vietnam (32%). The risk stratification algorithm allocated most Registry participants (n=847 or 79%) to primary care-based management, reducing unnecessary specialist referrals. The level of antiviral treatment uptake in Registry patients was 18%, which was the optimal level in this population group.
Conclusion: This pilot program demonstrated that primary care-based hepatitis B diagnosis and management is acceptable to patients and their care providers and significantly increases compliance with treatment guidelines. This would suggest that scaling up access to hepatitis B treatment is achievable and can provide a means to operationalize a population-level approach to CHB management and liver cancer prevention
The Candidate Intermediate-Mass Black Hole in the Globular Cluster M54
Ibata et al. reported evidence for density and kinematic cusps in the
Galactic globular cluster M54, possibly due to the presence of a 9400
solar-mass black hole. Radiative signatures of accretion onto M54's candidate
intermediate-mass black hole (IMBH) could bolster the case for its existence.
Analysis of new Chandra and recent Hubble Space Telescope astrometry rules out
the X-ray counterpart to the candidate IMBH suggested by Ibata et al. If an
IMBH exists in M54, then it has an Eddington ratio of L(0.3-8 keV) / L(Edd) <
1.4 x 10^(-10), more similar to that of the candidate IMBH in M15 than that in
G1. From new imaging with the NRAO Very Large Array, the luminosity of the
candidate IMBH is L(8.5 GHz) < 3.6 x 10^29 ergs/s (3 sigma). Two background
active galaxies discovered toward M54 could serve as probes of its intracluster
medium.Comment: 4 pages; 2 figures; emulateapj.cls; to appear in A
Six New Recycled Globular Cluster Pulsars Discovered with the Green Bank Telescope
We have completed sensitive searches for new pulsars in seven globular
clusters using the Robert C. Byrd Green Bank Telescope, and have discovered six
new recycled pulsars (four in NGC 6517 and two in M22), five of which are fully
recycled millisecond pulsars with P < 10 ms. We report full timing solutions
for all six new pulsars and provide estimates of their flux densities and
spectral indices. None of the pulsars are detected in archival Chandra data
down to L_X~10^32 erg/s for NGC 6517 and L_X~10^31 erg/s for M22. One of the
millisecond pulsars in M22 appears to have a very low mass companion, and is
likely a new "black widow". A second binary pulsar in NGC 6517 is in a
long-period, mildly eccentric orbit. We are able to set some lower limits on
the age of the system, and find that it may be less than a few hundred million
years old, which would indicate recent pulsar recycling in NGC 6517. An
isolated pulsar in NGC 6517 that lies about 20 core radii from the cluster
center appears to have been ejected from the core by interacting with a massive
binary. By analyzing the luminosity function of the pulsars in NGC 6517, we
predict the cluster to harbor roughly a dozen pulsars. We use the observed
period derivatives of three pulsars to set lower limits on the mass-to-light
ratios in the cores of their host clusters, and find no evidence for large
amounts of low-luminosity matter. We also discuss reasons for non-detections in
some of the clusters we searched.Comment: 17 pages, 2 figure
MpUL-multi: Software for Calculation of Amyloid Fibril Mass per Unit Length from TB-TEM Images.
Structure determination for amyloid fibrils presents many challenges due to the high variability exhibited by fibrils and heterogeneous morphologies present, even in single samples. Mass per unit length (MPL) estimates can be used to differentiate amyloid fibril morphologies and provide orthogonal evidence for helical symmetry parameters determined by other methods. In addition, MPL data can provide insight on the arrangement of subunits in a fibril, especially for more complex fibrils assembled with multiple parallel copies of the asymmetric unit or multiple twisted protofilaments. By detecting only scattered electrons, which serve as a relative measure of total scattering, and therefore protein mass, dark field imaging gives an approximation of the total mass of protein present in any given length of fibril. When compared with a standard of known MPL, such as Tobacco Mosaic Virus (TMV), MPL of the fibrils in question can be determined. The program suite MpUL-multi was written for rapid semi-automated processing of TB-TEM dark field data acquired using this method. A graphical user interface allows for simple designation of fibrils and standards. A second program averages intensities from multiple TMV molecules for accurate standard determination, makes multiple measurements along a given fibril, and calculates the MPL
The Gaia DR1 mass–radius relation for white dwarfs
The Gaia Data Release 1 (DR1) sample of white dwarf parallaxes is presented, including 6
directly observed degenerates and 46 white dwarfs in wide binaries. This data set is combined
with spectroscopic atmospheric parameters to study the white dwarf mass-radius relationship
(MRR). Gaia parallaxes and G magnitudes are used to derive model atmosphere dependent
white dwarf radii, which can then be compared to the predictions of a theoretical MRR. We
find a good agreement between Gaia DR1 parallaxes, published effective temperatures (Teff)
and surface gravities (log g), and theoretical MRRs. As it was the case for Hipparcos, the
precision of the data does not allow for the characterisation of hydrogen envelope masses.
The uncertainties on the spectroscopic atmospheric parameters are found to dominate the error
budget and current error estimates for well-known and bright white dwarfs may be slightly
optimistic. With the much larger Gaia DR2 white dwarf sample it will be possible to explore
the MRR over a much wider range of mass, Teff, and spectral types
Nonpathological Extracellular Amyloid Is Present during Normal Epididymal Sperm Maturation
Amyloids are aggregated proteins characterized by a specific cross-β-sheet structure and are typically associated with neurodegenerative diseases including Alzheimer's disease. Recently, however, several nonpathological amyloids have been found in intracellular organelles of normal mammalian tissues suggesting that amyloid may also carry out biological functions. We previously have shown that the epididymal cystatin CRES (cystatin-related epididymal spermatogenic), cst8, a reproductive-specific member of the cystatin superfamily of cysteine protease inhibitors, forms amyloid in vitro suggesting that CRES amyloid may also form in vivo within the epididymal lumen. Here we show that amyloid structures containing CRES are a component of the normal mouse epididymal lumen without any apparent cytotoxic effects on spermatozoa and that these structures change along the length of the tubule. These studies suggest the presence of a functional amyloid structure that may carry out roles in sperm maturation or maintenance of the luminal milieu and which itself may undergo maturational changes along the epididymis. In contrast to previous examples of functional amyloid which were intracellular, our studies now show that nonpathological/functional amyloid can also be extracellular. The presence of an extracellular and nonpathological amyloid in the epididymis suggests that similar amyloid structures may be present in other organ systems and may carry out distinctive tissue-specific functions
A multi-wavelength survey of NGC\,6752: X-ray counterparts, two new dwarf novae, and a core-collapsed radial profile
We present the results of a multi-wavelength (FUV to I-band) survey of the
stellar populations of the globular cluster NGC 6752, using STIS, ACS and WFC3
on board the Hubble Space Telescope. We have confirmed that two previously
identified CV candidates are, in fact, dwarf novae which underwent outbursts
during our observations. We have also identified previously unknown optical
counterparts to two X-ray sources. We estimate the position of the centre of
the cluster, and show that the stellar density profile is not well described by
a single King model, indicating that this cluster is in a core-collapsed or
post-core collapse phase. The colour-magnitude diagram shows a well-populated
horizontal branch, numerous blue stragglers and white dwarfs (WDs), as well as
87 sources in the gap region where we expect to find WD - main sequence
binaries, including cataclysmic variables (CVs). The X-ray sources and WD
binary systems are the most centrally concentrated populations, with
dynamically estimated characteristic masses >1.1Msun and >0.8Msun,
respectively.Comment: 17 pages, 11 figures, accepted for publication in MNRA
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