597 research outputs found

    Modeling Dispersive Coupling and Losses of Localized Optical and Mechanical Modes in Optomechanical Crystals

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    Periodically structured materials can sustain both optical and mechanical excitations which are tailored by the geometry. Here we analyze the properties of dispersively coupled planar photonic and phononic crystals: optomechanical crystals. In particular, the properties of co-resonant optical and mechanical cavities in quasi-1D (patterned nanobeam) and quasi-2D (patterned membrane) geometries are studied. It is shown that the mechanical Q and optomechanical coupling in these structures can vary by many orders of magnitude with modest changes in geometry. An intuitive picture is developed based upon a perturbation theory for shifting material boundaries that allows the optomechanical properties to be designed and optimized. Several designs are presented with mechanical frequency ~ 1-10 GHz, optical Q-factor Qo > 10^7, motional masses meff 100 femtograms, optomechanical coupling length LOM < 5 microns, and a radiation-limited mechanical Q-factor Qm > 10^7.Comment: 25 pages, 9 figure

    Triage and diagnostic accuracy of Online Symptom Checkers: a systematic review

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    Background: In the context of a deepening global shortage of health workers, and particularly the COVID-19 pandemic, there is growing international interest in and use of online symptom checkers (OSCs). However, the evidence surrounding the safety and accuracy of OSCs remains inconclusive so far. The triage and diagnostic accuracy of these tools is an essential aspect that needs to be addressed before pushing any further implementation. Objective: This systematic review aimed to summarize the existing peer-reviewed literature evaluating the triage accuracy (directing users to appropriate services based on their presenting symptoms) and diagnostic accuracy of OSCs aimed at lay users for general health concerns. Methods: Searches were conducted in Medline, Embase, CINAHL, HMIC and Web of Science. We included peer-reviewed studies published in English between 1 January 2010 and 17 February 2022 with a quantitative assessment of triage and/or diagnostic accuracy of OSCs directed at lay users. We excluded tools supporting health professionals, and disease- or speciality-specific OSCs. Screening and data extraction were carried out independently by two reviewers for each study. We performed a descriptive narrative synthesis. Results: 21,284 studies were screened and 15 were included. Six studies reported on both triage and diagnostic accuracy, eight focused on triage accuracy, and one on diagnostic accuracy. Diagnostic and triage accuracy varied between studies and OSCs; most studies showed suboptimal diagnostic and triage accuracy. Frequency and urgency of the condition were the main variables that affected the levels of diagnostic and triage accuracy, along with specific features of the OSCs. The impact of each variable differed across tools and studies, making it difficult to draw any solid conclusions. Included studies had either a moderate or high risk of bias according to the revised tool for the Quality Assessment of Diagnostic Accuracy Studies 2. Conclusions: While OSCs have significant potential to provide accessible and accurate health advice and triage recommendations to users, more research is needed to validate their triage and diagnostic accuracy prior to wide scale adoption in community and healthcare settings. Future studies should aim to use a common methodology and/or agreed standard for evaluation to facilitate objective benchmarking and validation

    The Vehicle, Spring 1976

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    Table of Contents PhotoJim Painterpage 1 The City is the Black Man\u27s LandCharles (Omar) Davispage 2 NIGGER!Sibyl Burrellpage 2 EssayEl-Edrisi Assibaipage 3 PhotoTom Tieffenbacherpage 3 The Gypsy GhostBill Vermillionpage 4 PhotoTom Tieffenbacherpage 5 PhotoTom Tieffenbacherpage 6 e.e.,H.M. (Wendy) Smithpage 7 Fair LovingGary Thomaspage 7 PhotoTom Tieffenbacherpage 7 Night and Summer in Two WorldsBarry Smithpage 8https://thekeep.eiu.edu/vehicle/1034/thumbnail.jp

    Mitigation of PWR fuel assembly vibrations using bio-inspired nozzles

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    ABSTRACT: Jet flows injected in a transverse flow need rapid and effective mixing for various applications ranging from medicine injection into bloodstreams to nuclear pressurized water reactors (PWRs). Inspired by marine organisms, spiral snails, and sharks, bio-inspired nozzles are proposed and experimentally investigated to explore their advantages in suppressing nuclear fuel assembly vibrations. It has been observed that a combination of axial flow and jet cross-flow causes vibrations of fuel rods and potential wear at spacer grid supports. Marine biomimetics is used to improve the mixing between the jet flow and surrounding fluid flows. Inspired by the structure of gastropod shells, a variable whorl spacing nozzle is proposed to induce a swirling jet flow to enhance the mixing rate with the flow inside the reactor cores. In addition, the smooth maneuverability of the sharks highlights the importance to include gill slits structure into nozzles. This work focuses on mitigating PWR fuel assembly vibrations using two biomimetic nozzles, a snail nozzle and a shark nozzle. These two nozzles are proposed to improve the mixing rate between the injected flow and the primary coolant flow, resulting in a reduced jet flow effect on fuel rods. A single-span mock-up PWR array is designed, fabricated, and instrumented to mimic the real nuclear fuel assembly. The array is experimentally tested under combined axial flow and jet cross-flow to investigate its dynamical behavior. Three different nozzles, a basic circular nozzle, a snail nozzle, and a shark nozzle, are tested. The research investigates the ability of the proposed marine biomimetic nozzles to suppress the vibration of the rod bundle by comparing the results from the three tested nozzles. The obtained results suggest that the proposed snail-inspired biomimetic nozzle is significantly better than the circular nozzle since it reduces rod bundle vibration by increasing flow mixing. A 50% reduction was achieved by implementing it instead of the circular nozzle. More importantly, the shark-inspired nozzle delays the critical jet flow rate, at which the unstable vibration occurs in the rod bundle, by 20%. In addition to delaying instability, a vibration amplitude reduction of 87.5% was obtained using the proposed shark-inspired nozzle compared to the circular nozzle. The results are promising for various applications including gas burners, combustion chambers, and chemical reactors for providing efficient and rapid mixing between two fluid streams

    Diamond optomechanical crystals

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    Cavity-optomechanical systems realized in single-crystal diamond are poised to benefit from its extraordinary material properties, including low mechanical dissipation and a wide optical transparency window. Diamond is also rich in optically active defects, such as the nitrogen-vacancy (NV) and silicon-vacancy (SiV) centers, which behave as atom-like systems in the solid state. Predictions and observations of coherent coupling of the NV electronic spin to phonons via lattice strain has motivated the development of diamond nanomechanical devices aimed at realization of hybrid quantum systems, in which phonons provide an interface with diamond spins. In this work, we demonstrate diamond optomechanical crystals (OMCs), a device platform to enable such applications, wherein the co-localization of ~ 200 THz photons and few to 10 GHz phonons in a quasi-periodic diamond nanostructure leads to coupling of an optical cavity field to a mechanical mode via radiation pressure. In contrast to other material systems, diamond OMCs operating in the resolved-sideband regime possess large intracavity photon capacity (> 105^5) and sufficient optomechanical coupling rates to reach a cooperativity of ~ 20 at room temperature, allowing for the observation of optomechanically induced transparency and the realization of large amplitude optomechanical self-oscillations

    Intradialytic versus home based exercise training in hemodialysis patients: a randomised controlled trial

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    Background: Exercise training in hemodialysis patients improves fitness, physical function, quality of life and markers of cardiovascular disease such as arterial stiffness. The majority of trials investigating this area have used supervised exercise training during dialysis (intradialytic), which may not be feasible for some renal units. The aim of this trial is to compare the effects of supervised intradialytic with unsupervised home-based exercise training on physical function and arterial stiffness

    Cellular Radiosensitivity: How much better do we understand it?

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    Purpose: Ionizing radiation exposure gives rise to a variety of lesions in DNA that result in genetic instability and potentially tumorigenesis or cell death. Radiation extends its effects on DNA by direct interaction or by radiolysis of H2O that generates free radicals or aqueous electrons capable of interacting with and causing indirect damage to DNA. While the various lesions arising in DNA after radiation exposure can contribute to the mutagenising effects of this agent, the potentially most damaging lesion is the DNA double strand break (DSB) that contributes to genome instability and/or cell death. Thus in many cases failure to recognise and/or repair this lesion determines the radiosensitivity status of the cell. DNA repair mechanisms including homologous recombination (HR) and non-homologous end-joining (NHEJ) have evolved to protect cells against DNA DSB. Mutations in proteins that constitute these repair pathways are characterised by radiosensitivity and genome instability. Defects in a number of these proteins also give rise to genetic disorders that feature not only genetic instability but also immunodeficiency, cancer predisposition, neurodegeneration and other pathologies. Conclusions: In the past fifty years our understanding of the cellular response to radiation damage has advanced enormously with insight being gained from a wide range of approaches extending from more basic early studies to the sophisticated approaches used today. In this review we discuss our current understanding of the impact of radiation on the cell and the organism gained from the array of past and present studies and attempt to provide an explanation for what it is that determines the response to radiation

    P. falciparum In Vitro Killing Rates Allow to Discriminate between Different Antimalarial Mode-of-Action

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    Chemotherapy is still the cornerstone for malaria control. Developing drugs against Plasmodium parasites and monitoring their efficacy requires methods to accurately determine the parasite killing rate in response to treatment. Commonly used techniques essentially measure metabolic activity as a proxy for parasite viability. However, these approaches are susceptible to artefacts, as viability and metabolism are two parameters that are coupled during the parasite life cycle but can be differentially affected in response to drug actions. Moreover, traditional techniques do not allow to measure the speed-of-action of compounds on parasite viability, which is an essential efficacy determinant. We present here a comprehensive methodology to measure in vitro the direct effect of antimalarial compounds over the parasite viability, which is based on limiting serial dilution of treated parasites and re-growth monitoring. This methodology allows to precisely determine the killing rate of antimalarial compounds, which can be quantified by the parasite reduction ratio and parasite clearance time, which are key mode-of-action parameters. Importantly, we demonstrate that this technique readily permits to determine compound killing activities that might be otherwise missed by traditional, metabolism-based techniques. The analysis of a large set of antimalarial drugs reveals that this viability-based assay allows to discriminate compounds based on their antimalarial mode-of-action. This approach has been adapted to perform medium throughput screening, facilitating the identification of fast-acting antimalarial compounds, which are crucially needed for the control and possibly the eradication of malaria

    Controversies in the Surgical Management of Sigmoid Diverticulitis

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    The timing and appropriateness of surgical treatment of sigmoid diverticular disease remain a topic of controversy. We have reviewed the current literature on this topic, focusing on issues related to the indications and types of surgery. Current evidence would suggest that elective surgery for diverticulitis can be avoided in patients with uncomplicated disease, regardless of the number of recurrent episodes. Furthermore, the need for elective surgey should not be influenced by the age of the patient. Operation should be undertaken in patients with severe attacks, as determined by their clinical and radiological evaluation

    Effects of the protein kinase inhibitors wortmannin and KN62 on cellular radiosensitivity and radiation-activated S phase and G1/S checkpoints in normal human fibroblasts

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    Wortmannin is a potent inhibitor of phosphatidylinositol (PI) 3-kinase and PI 3-kinase-related proteins (e.g. ATM), but it does not inhibit the activity of purified calmodulin-dependent protein kinase II (CaMKII). In the present study, we compared the effects of wortmannin and the CaMKII inhibitor KN62 on the response of normal human dermal fibroblast cultures to γ radiation. We demonstrate that wortmannin confers a phenotype on normal fibroblasts remarkably similar to that characteristic of cells homozygous for the ATM mutation. Thus wortmannin-treated normal fibroblasts exhibit increased sensitivity to radiation-induced cell killing, lack of temporary block in transition from G1 to S phase following irradiation (i.e. impaired G1/S checkpoint), and radioresistant DNA synthesis (i.e. impaired S phase checkpoint). Wortmannin-treated cultures display a diminished capacity for radiation-induced up-regulation of p53 protein and expression of p21WAF1, a p53-regulated gene involved in cell cycle arrest at the G1/S border; the treated cultures also exhibit decreased capacity for enhancement of CaMKII activity post-irradiation, known to be necessary for triggering the S phase checkpoint. We further demonstrate that KN62 confers a radioresistant DNA synthesis phenotype on normal fibroblasts and moderately potentiates their sensitivity to killing by γ rays, without modulating G1/S checkpoint, p53 up-regulation and p21WAF1 expression following radiation exposure. We conclude that CaMKII is involved in the radiation responsive signalling pathway mediating S phase checkpoint but not in the p53-dependent pathway controlling G1/S checkpoint, and that a wortmannin-sensitive kinase functions upstream in both pathways. © 1999 Cancer Research Campaig
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