1,780 research outputs found
Gel-Electrophoresis and Diffusion of Ring-Shaped DNA
A model for the motion of ring-shaped DNA in a gel is introduced and studied
by numerical simulations and a mean-field approximation. The ring motion is
mediated by finger-shaped loops (hernias) that move in an amoeba-like fashion
around the gel obstructions. This constitutes an extension of previous
reptation tube treatments. It is shown that tension is essential for describing
the dynamics in the presence of hernias. It is included in the model as long
range interactions over stretched DNA regions. The mobility of ring-shaped DNA
is found to saturate much as in the well-studied case of linear DNA.
Experiments in polymer gels, however, show that the mobility drops
exponentially with the DNA ring size. This is commonly attributed to
dangling-ends in the gel that can impale the ring. The predictions of the
present model are expected to apply to artificial 2D obstacle arrays (W.D.
Volkmuth, R.H. Austin, Nature 358,600 (1992)) which have no dangling-ends. In
the zero-field case an exact solution of the model steady-state is obtained,
and quantities such as the average ring size are calculated. An approximate
treatment of the ring dynamics is given, and the diffusion coefficient is
derived. The model is also discussed in the context of spontaneous symmetry
breaking in one dimension.Comment: 8 figures, LaTeX, Phys. Rev. E - in pres
Protocolised non-invasive compared with invasive weaning from mechanical ventilation for adults in intensive care : the Breathe RCT
Background:
Invasive mechanical ventilation (IMV) is a life-saving intervention. Following resolution of the condition that necessitated IMV, a spontaneous breathing trial (SBT) is used to determine patient readiness for IMV discontinuation. In patients who fail one or more SBTs, there is uncertainty as to the optimum management strategy.
Objective:
To evaluate the clinical effectiveness and cost-effectiveness of using non-invasive ventilation (NIV) as an intermediate step in the protocolised weaning of patients from IMV.
Design:
Pragmatic, open-label, parallel-group randomised controlled trial, with cost-effectiveness analysis.
Setting:
A total of 51 critical care units across the UK.
Participants:
Adult intensive care patients who had received IMV for at least 48 hours, who were categorised as ready to wean from ventilation, and who failed a SBT.
Interventions:
Control group (invasive weaning): patients continued to receive IMV with daily SBTs. A weaning protocol was used to wean pressure support based on the patient’s condition. Intervention group (non-invasive weaning): patients were extubated to NIV. A weaning protocol was used to wean inspiratory positive airway pressure, based on the patient’s condition.
Main outcome measures:
The primary outcome measure was time to liberation from ventilation. Secondary outcome measures included mortality, duration of IMV, proportion of patients receiving antibiotics for a presumed respiratory infection and health-related quality of life.
Results:
A total of 364 patients (invasive weaning, n = 182; non-invasive weaning, n = 182) were randomised. Groups were well matched at baseline. There was no difference between the invasive weaning and non-invasive weaning groups in median time to liberation from ventilation {invasive weaning 108 hours [interquartile range (IQR) 57–351 hours] vs. non-invasive weaning 104.3 hours [IQR 34.5–297 hours]; hazard ratio 1.1, 95% confidence interval [CI] 0.89 to 1.39; p = 0.352}. There was also no difference in mortality between groups at any time point. Patients in the non-invasive weaning group had fewer IMV days [invasive weaning 4 days (IQR 2–11 days) vs. non-invasive weaning 1 day (IQR 0–7 days); adjusted mean difference –3.1 days, 95% CI –5.75 to –0.51 days]. In addition, fewer non-invasive weaning patients required antibiotics for a respiratory infection [odds ratio (OR) 0.60, 95% CI 0.41 to 1.00; p = 0.048]. A higher proportion of non-invasive weaning patients required reintubation than those in the invasive weaning group (OR 2.00, 95% CI 1.27 to 3.24). The within-trial economic evaluation showed that NIV was associated with a lower net cost and a higher net effect, and was dominant in health economic terms. The probability that NIV was cost-effective was estimated at 0.58 at a cost-effectiveness threshold of £20,000 per quality-adjusted life-year.
Conclusions:
A protocolised non-invasive weaning strategy did not reduce time to liberation from ventilation. However, patients who underwent non-invasive weaning had fewer days requiring IMV and required fewer antibiotics for respiratory infections.
Future work:
In patients who fail a SBT, which factors predict an adverse outcome (reintubation, tracheostomy, death) if extubated and weaned using NIV?
Trial registration:
Current Controlled Trials ISRCTN15635197.
Funding:
This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 23, No. 48. See the NIHR Journals Library website for further project information
First light of the VLT planet finder SPHERE. II. The physical properties and the architecture of the young systems PZ Tel and HD 1160 revisited
[Abridged] Context. The young systems PZ Tel and HD 1160, hosting known
low-mass companions, were observed during the commissioning of the new planet
finder SPHERE with several imaging and spectroscopic modes. Aims. We aim to
refine the physical properties and architecture of both systems. Methods. We
use SPHERE commissioning data and REM observations, as well as literature and
unpublished data from VLT/SINFONI, VLT/NaCo, Gemini/NICI, and Keck/NIRC2.
Results. We derive new photometry and confirm the nearly daily photometric
variability of PZ Tel A. Using literature data spanning 38 yr, we show that the
star also exhibits a long-term variability trend. The 0.63-3.8 mic SED of PZ
Tel B allows us to revise its properties: spectral type M7+/-1, Teff=2700+/-100
K, log(g)<4.5 dex, log(L/L_Sun)=-2.51+/-0.10 dex, and mass 38-72 MJ. The 1-3.8
mic SED of HD 1160 B suggests a massive brown dwarf or a low-mass star with
spectral type M5.5-7.0, Teff=3000+/-100 K, [M/H]=-0.5-0.0 dex,
log(L/L_Sun)=-2.81+/-0.10 dex, and mass 39-168 MJ. We confirm the deceleration
and high eccentricity (e>0.66) of PZ Tel B. For e<0.9, the inclination,
longitude of the ascending node, and time of periastron passage are well
constrained. The system is seen close to an edge-on geometry. We reject other
brown dwarf candidates outside 0.25" for both systems, and massive giant
planets (>4 MJ) outside 0.5" for the PZ Tel system. We also show that K1-K2
color can be used with YJH low-resolution spectra to identify young L-type
companions, provided high photometric accuracy (<0.05 mag) is achieved.
Conclusions. SPHERE opens new horizons in the study of young brown dwarfs and
giant exoplanets thanks to high-contrast imaging capabilities at optical and
near-infrared wavelengths, as well as high signal-to-noise spectroscopy in the
near-infrared from low (R~30-50) to medium resolutions (R~350).Comment: 25 pages, 23 figures, accepted for publication in A&A on Oct. 13th,
2015; version including language editing. Typo on co-author name on astroph
page corrected, manuscript unchange
First mineralogical maps of 4 Vesta
Before Dawn arrived at 4 Vesta only very low spatial resolution (~50 km) albedo and color maps were available from HST data. Also ground-based color and spectroscopic data were utilized as a first attempt to map Vesta’s mineralogical diversity [1-4]. The VIR spectrometer [5] onboard Dawn has ac-quired hyperspectral data while the FC camera [6] ob-tained multi-color data of the Vestan surface at very high spatial resolutions, allowing us to map complex geologic, morphologic units and features. We here re-port about the results obtained from a preliminary global mineralogical map of Vesta, based on data from the Survey orbit. This map is part of an iterative map-ping effort; the map is refined with each improvement in resolution
SPHERE: the exoplanet imager for the Very Large Telescope
Observations of circumstellar environments to look for the direct signal of
exoplanets and the scattered light from disks has significant instrumental
implications. In the past 15 years, major developments in adaptive optics,
coronagraphy, optical manufacturing, wavefront sensing and data processing,
together with a consistent global system analysis have enabled a new generation
of high-contrast imagers and spectrographs on large ground-based telescopes
with much better performance. One of the most productive is the
Spectro-Polarimetic High contrast imager for Exoplanets REsearch (SPHERE)
designed and built for the ESO Very Large Telescope (VLT) in Chile. SPHERE
includes an extreme adaptive optics system, a highly stable common path
interface, several types of coronagraphs and three science instruments. Two of
them, the Integral Field Spectrograph (IFS) and the Infra-Red Dual-band Imager
and Spectrograph (IRDIS), are designed to efficiently cover the near-infrared
(NIR) range in a single observation for efficient young planet search. The
third one, ZIMPOL, is designed for visible (VIR) polarimetric observation to
look for the reflected light of exoplanets and the light scattered by debris
disks. This suite of three science instruments enables to study circumstellar
environments at unprecedented angular resolution both in the visible and the
near-infrared. In this work, we present the complete instrument and its on-sky
performance after 4 years of operations at the VLT.Comment: Final version accepted for publication in A&
Post conjunction detection of Pictoris b with VLT/SPHERE
With an orbital distance comparable to that of Saturn in the solar system,
\bpic b is the closest (semi-major axis \,9\,au) exoplanet that has
been imaged to orbit a star. Thus it offers unique opportunities for detailed
studies of its orbital, physical, and atmospheric properties, and of
disk-planet interactions. With the exception of the discovery observations in
2003 with NaCo at the Very Large Telescope (VLT), all following astrometric
measurements relative to \bpic have been obtained in the southwestern part of
the orbit, which severely limits the determination of the planet's orbital
parameters. We aimed at further constraining \bpic b orbital properties using
more data, and, in particular, data taken in the northeastern part of the
orbit.
We used SPHERE at the VLT to precisely monitor the orbital motion of beta
\bpic b since first light of the instrument in 2014. We were able to monitor
the planet until November 2016, when its angular separation became too small
(125 mas, i.e., 1.6\,au) and prevented further detection. We redetected \bpic b
on the northeast side of the disk at a separation of 139\,mas and a PA of
30 in September 2018. The planetary orbit is now well constrained.
With a semi-major axis (sma) of au (1 ), it
definitely excludes previously reported possible long orbital periods, and
excludes \bpic b as the origin of photometric variations that took place in
1981. We also refine the eccentricity and inclination of the planet. From an
instrumental point of view, these data demonstrate that it is possible to
detect, if they exist, young massive Jupiters that orbit at less than 2 au from
a star that is 20 pc away.Comment: accepted by A&
Isolation and individual electrical stimulation of single smooth-muscle cells from the urinary bladder of the pig
In contrast to striated muscle, measurements on strips of smooth muscle cannot be uniquely interpreted in terms of an array of contractile units. Therefore scaling down to the single-cell level is necessary to gain detailed understanding of the contractile process in this type of muscle. The present study describes the development of a method for isolating contractile single smooth muscle cells from pig urinary bladders. Contractile responses evoked by individual electrical stimulation were used as a measure of cell quality during development of the method. Responses were evaluated by measuring latency, contraction and relaxation times, as indicated by visible length changes, and stored on-line in a computer. Initial length, relative shortening and shortening speed were determined by measuring cell lengths in previously timed still video frames using a computer-controlled crosshair device. Increase of stimulus pulse duration resulted in improved responses, indicating that the observed shortening represented a physiological contractile response. Ultimately this method of evaluation was applied to two sets of cell preparations obtained by two different methods, one using only collagenase digestion, the other using mechanical manipulation as well. Both sets showed two main patterns of response to electrical stimulation: a pattern of contraction upon stimulation followed by enhanced contraction when stimulation was switched off (CK), and a pattern of contraction upon stimulation followed by relaxation when the stimulus was switched off (CR). The set of preparations containing the highest percentage of CR cells was found to be superior (i.e. greater initial length, shorter latency and contraction times, increased shortening and higher shortening speed). The method of isolation used for this set gives a high yield of contractile cells available for experimental use over a long span of time
Position statement and updated international guideline for safe and effective whole-body electromyostimulation training-the need for common sense in WB-EMS application
Whole-Body Electromyostimulation (WB-EMS) is a training technology that enables simultaneous stimulation of all the main muscle groups with a specific impulse intensity for each electrode. The corresponding time-efficiency and joint-friendliness of WB-EMS may be particularly attractive for people unable or unmotivated to conduct (intense) conventional training protocols. However, due to the enormous metabolic and musculoskeletal impact of WB-EMS, particular attention must be paid to the application of this technology. In the past, several scientific and newspaper articles reported severe adverse effects of WB-EMS. To increase the safety of commercial non-medical WB-EMS application, recommendations "for safe and effective whole-body electromyostimulation" were launched in 2016. However, new developments and trends require an update of these recommendations to incorporate more international expertise with demonstrated experience in the application of WB-EMS. The new version of these consensus-based recommendations has been structured into 1) "general aspects of WB-EMS", 2) "preparation for training", recommendations for the 3) "WB-EMS application" itself and 4) "safety aspects during and after training". Key topics particularly addressed are 1) consistent and close supervision of WB-EMS application, 2) mandatory qualification of WB-EMS trainers, 3) anamnesis and corresponding consideration of contraindications prior to WB-EMS, 4) the participant's proper preparation for the session, 5) careful preparation of the WB-EMS novice, 6) appropriate regeneration periods between WB-EMS sessions and 7) continuous interaction between trainer and participant at a close physical distance. In summary, we are convinced that the present guideline will contribute to greater safety and effectiveness in the area of non-medical commercial WB-EMS application
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