1,016 research outputs found

    CCS from industrial sources

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    The literature concerning the application of CCS to industry is reviewed. Costs are presented for different sectors including ``high purity'' (processes which inherently produce a high concentration of CO2), cement, iron and steel, refinery and biomass. The application of CCS to industry is a field which has had much less attention than its application to the electricity production sector. Costs range from less than 201110/tCO2uptoabove2011 10/tCO 2 up to above 2011 100/tCO 2 . In the words of a synthesis report from the United Nations Industrial Development Organisation (UNIDO) ``This area has so far not been the focus of discussions and therefore much attention needs to be paid to the application of CCS to industrial sources if the full potential of CCS is to be unlocked''

    Сучасний стан пенсійного забезпечення в Україні

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    У статті розглянуто сучасний стан солідарної системи загальнообов'язкового державного пенсійного страхування та проаналізовано основні показники функціонування недержавних пенсійних фондів.In the article the current state of solidarity system of obligatory slate pension insurance is considered. The basic indicators of functioning of non-stale pension funds are analyzed

    Pleistocene landscape evolution in the Avon valley, southern Britain: optical dating of terrace formation and Palaeolithic archaeology

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    This paper presents the first comprehensive Optically Stimulated Luminescence dating programme from a sequence of Pleistocene river terraces in the Avon valley (Wiltshire-Hampshire-Dorset), southern Britain. These results offer the most complete chronometric framework for Pleistocene landscape evolution and Palaeolithic occupation in the Avon valley, allowing for the first time: (1) an assessment of the timing of terrace formation and landscape evolution, (2) the dating of hominin presence in the area, and (3) an investigation of the relationship between terrace formation and Quaternary climatic change. Analysis of 25 samples collected from terraces 10 and 7 to 4 show that the middle Avon terraces formed in response to the main Pleistocene climatic oscillations (Marine Isotope Stage (MIS) 10, 8, 6) and that fluvial mechanisms changed through time, resulting in three different types of terrace architecture. The highest and oldest deposits are compound terraces deposited during the Early Pleistocene before the Mid Pleistocene Transition. The middle reach of the valley is characterised by well-developed strath terraces overlain with thick fluvial deposits, reflecting the greater degree of incision in response to the increased amplitude of climate cycles in the Middle Pleistocene. The youngest deposits in the confined modern floodplain represent cut-and-fill terraces deposited after MIS5e. The results indicate that the two main Palaeolithic sites in the area, Milford Hill and Woodgreen, date to between at least MIS 10 and 8 with a pre-MIS 10 human occupation at a third main site at Bemerton. This is significant because the sites date to a period previously associated with a decline in hominin presence in Britain. The dating of the Avon valley terrace sequence highlights the complex nature of terrace formation during the Pleistocene and the need to critically reassess the chronological understanding of these fluvial archives in southern Britain. This research demonstrates that with a detailed and multidisciplinary approach shifts in hominin landscape use can be discovered, providing new information on hominin behavioural change during the Pleistocene

    Triggering Mechanisms for Motor Actions: The Effects of Expectation on Reaction Times to Intense Acoustic Stimuli

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    Motor actions can be released much sooner than normal when the go-signal is of very high intensity (>100 dBa). Although statistical evidence from individual studies has been mixed, it has been assumed that sternocleidomastoid (SCM) muscle activity could be used to distinguish between two neural circuits involved in movement triggering. We summarized meta-analytically the available evidence for this hypothesis, comparing the difference in premotor reaction time (RT) of actions where SCM activity was elicited (SCM+ trials) by loud acoustic stimuli against trials in which it was absent (SCM- trials). We found ten studies, all reporting comparisons between SCM+ and SCM- trials. Our mini meta-analysis showed that premotor RTs are faster in SCM+ than in SCM- trials, but the effect can be confounded by the variability of the foreperiods employed. We present experimental data showing that foreperiod predictability can induce differences in RT that would be of similar size to those attributed to the activation of different neurophysiological pathways to trigger prepared actions. We discuss plausible physiological mechanisms that would explain differences in premotor RTs between SCM+ and SCM- trials

    Титульные страницы и содержание

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    BACKGROUND: Psychotropic drugs are prescribed to approximately 30-40% of adults with intellectual disability (ID) and challenging behaviour, despite the limited evidence of effectiveness and the potential of adverse events. AIMS: To assess the prevalence of adverse events in association with psychotropic drug use in adults with ID and challenging behaviour and to examine the relation of these adverse events with the person's quality of life. METHOD: The presence of adverse events was measured with a questionnaire that had to be filled in by the physicians of the participants. Movement disorders were measured separately with a standardised protocol. The strength of the association between adverse events and Intellectual Disability Quality of Life-16 (IDQOL-16), and daily functioning was investigated using linear regression analyses, taking into account the severity of disease (CGI-S) as potential confounder. RESULTS: Virtually all of 103 adults with ID and challenging behaviour had at least one adverse event (84.4%) and almost half had ≥3 adverse events (45.6%) across different subclasses. Using psychotropic drugs increased the prevalence of adverse events significantly. Respectively 13% of the patients without psychotropic drugs and 61% of the patients with ≥2 psychotropic drugs had ≥3 adverse events. Having adverse events had a significantly negative influence on the quality of life. CONCLUSIONS: A large majority of all patients had at least one adverse event associated with psychotropic drug use. More attention is needed for these adverse events and their negative influence on the quality of life of these patients, taking into account the lack of evidence of effectiveness of psychotropic drugs for challenging behaviour

    Molecular dynamics simulations of a fully hydrated dipalmitoyl phosphatidylcholine bilayer with different macroscopic boundary conditions and parameters

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    We compared molecular dynamics simulations of a bilayer of 128 fully hydrated phospholipid (DPPC) molecules, using different parameters and macroscopic boundary conditions. The same system was studied under constant pressure, constant volume, and constant surface tension boundary conditions, with two different sets of charges, the single point charge (SPC) and extended single point charge (SPC/E) water model and two different sets of Lennard-Jones parameters for the interaction between water and methyl/methylene. Some selected properties of the resulting bilayer systems are compared to each other, previous simulations, and experimental data. It is concluded that in relatively high water concentration it is possible to use ab initio derived charges with constant pressure boundary conditions. The SPC water model gives a larger area per head group and a broader interface than the SPC/E model. Increasing the repulsion between water oxygens and CH2/CH3 groups has a large effect on the width of the interface and the area per head group. There is little difference between simulations with constant pressure and constant surface tension. The use of constant volume, using a reasonable estimate for the initial box dimensions, easily introduces artefacts. (C) 1996 American Institute of Physics

    Multiscale heterogeneity in gastric adenocarcinoma evolution is an obstacle to precision medicine

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    Cancer is a somatic evolutionary disease and adenocarcinomas of the stomach and gastroesophageal junction (GC) may serve as a two-dimensional model of cancer expansion, in which tumor subclones are not evenly mixed during tumor progression but rather spatially separated and diversified. We hypothesize that precision medicine efforts are compromised when clinical decisions are based on a single-sample analysis, which ignores the mechanisms of cancer evolution and resulting intratumoral heterogeneity. Using multiregional whole-exome sequencing, we investigated the effect of somatic evolution on intratumoral heterogeneity aiming to shed light on the evolutionary biology of GC

    Performance of a trigger tool for detecting adverse drug reactions in patients with polypharmacy acutely admitted to the geriatric ward

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    PURPOSE: Adverse drug reactions (ADRs) account for 10% of acute hospital admissions in older people, often under-recognised by physicians. The Dutch geriatric guideline recommends screening all acutely admitted older patients with polypharmacy with an ADR trigger tool comprising ten triggers and associated drugs frequently causing ADRs. This study investigated the performance of this tool and the recognition by usual care of ADRs detected with the tool. METHODS: A cross-sectional study was performed in patients ≥ 70 years with polypharmacy acutely admitted to the geriatric ward of the University Medical Centre Utrecht. Electronic health records (EHRs) were screened for trigger-drug combinations listed in the ADR trigger tool. Two independent appraisers assessed causal probability with the WHO-UMC algorithm and screened EHRs for recognition of ADRs by attending physicians. Performance of the tool was defined as the positive predictive value (PPV) for ADRs with a possible, probable or certain causal relation. RESULTS: In total, 941 trigger-drug combinations were present in 73% (n = 253/345) of the patients. The triggers fall, delirium, renal insufficiency and hyponatraemia covered 86% (n = 810/941) of all trigger-drug combinations. The overall PPV was 41.8% (n = 393/941), but the PPV for individual triggers was highly variable ranging from 0 to 100%. Usual care recognised the majority of ADRs (83.5%), increasing to 97.1% when restricted to possible and certain ADRs. CONCLUSION: The ADR trigger tool has predictive value; however, its implementation is unlikely to improve the detection of unrecognised ADRs in older patients acutely admitted to our geriatric ward. Future research is needed to investigate the tool's clinical value when applied to older patients acutely admitted to non-geriatric wards

    Guidance by physicians and pharmacists during antidepressant therapy: patients' needs and suggestions for improvement

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    OBJECTIVE Guidance of patients treated with antidepressants is paramount for successful therapy. The aim was to assess patients' needs and suggestions for improvement of guidance by physicians and pharmacists during second generation antidepressant (SGA) therapy. DESIGN Five focus group discussions were held with a total of 34 patients using an SGA. METHODS The discussions were conducted flexibly and responsrvely using a semistructured topic list. All focus group discussions were video-recorded and transcripts were analysed using ATLAS.ti for coding, thematic and open analysis. RESULTS Participants stated they were in need of better guidance. They suggested improving content of information during decisional moments, patient-health care professional communication and communication in-between health care professionals, and finally, organisation of guidance. Barriers to achieving improved guidance were cited. CONCLUSION Content, communication and organisation of guidance are pivotal for achieving optimal guidance. Participants mentioned that their current experienced guidance had limitations and brought up solutions for improvement. A next step would be to discuss the suggested solutions with health care professionals to assess their views and to discuss the possibility for implementation. After implementation, future studies could be aimed at determination of its impact on patients' treatment efficacy, quality of life, treatment satisfaction and healthcare costs
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