What is the relationship between elements of ICU treatment and memories after discharge in adult ICU survivors?

Objectives: Patients admitted to an intensive care unit (ICU) often experience distressing memories during recovery that have been associated with poor psychological and cognitive outcomes. The aim of this literature review was to synthesise the literature reporting on relationships between elements of ICU treatment and memories after discharge in adult ICU survivors. Review method used: Integrative review methods were used to systematically search, select, extract, appraise and summarise current knowledge from the available research and identify gaps in the literature. Data sources: The following electronic databases were systematically searched: PubMed, Ovid EMBASE, EBSCOhost CINAHL, PsycINFO and Cochrane Central Register of Controlled Trials. Additional studies were identified through searches of bibliographies. Original quantitative research articles written in English that were published in peer-review journals were included. Review methods: Data extracted from studies included authors, study aims, population, sample size and characteristics, methods, ICU treatments, ICU memory definitions, data collection strategies and findings. Study quality assessment was based on elements of the Critical Appraisal Skills Programme using the checklists developed for randomised controlled trials and cohort studies. Results: Fourteen articles containing data from 13 studies met the inclusion criteria and were included in the final analysis. The relatively limited evidence about the association between elements of ICU treatment and memories after ICU discharge suggest that deep sedation, corticoids and administration of glucose 50% due to hypoglycaemia contribute to the development of delusional memories and amnesia of ICU stay. Conclusions: The body of literature on the relationship between elements of ICU treatment and memories after ICU discharge is small and at its early stages. Larger studies using rigorous study design are needed in order to evaluate the effects of different elements of ICU treatment on the development of memories of the ICU during recovery

Future food contaminants: An assessment of the plant uptake of Technology-critical elements versus traditional metal contaminants

Technology-critical elements (TCEs) include most rare earth elements (REEs), the platinum group elements (PGEs), and Ga, Ge, In, Nb, Ta, Te, and Tl. Despite increasing recognition of their prolific release into the environment, their soil to plant transfer remains largely unknown. This paper provides an approximation of the potential for plant uptake by calculating bioconcentration factors (BCFs), defined as the concentration in edible vegetable tissues relative to that in cultivation soil. Here data were obtained from an indoor cultivation experiment growing lettuce, chard, and carrot on 22 different European urban soils. Values of BCFs were determined from concentrations of TCEs in vegetable samples after digestion with concentrated HNO3, and from concentrations in soil determined after 1) Aqua Regia digestion and, 2) diluted (0.1 M) HNO3 leaching. For comparison, BCFs were also determined for 5 traditional metal contaminants (TMCs; As, Cd, Cu, Pb, and Zn). The main conclusions of the study were that: 1) BCF values for the REEs were consistently low in the studied vegetables; 2) the BCFs for Ga and Nb were low as well; 3) the BCFs for Tl were high relative to the other measured TCEs and the traditional metal contaminants; and 4) mean BCF values for the investigated TCEs were generally highest in chard and lowest in carrot. These findings provide initial evidence that there are likely to be real and present soil–plant transfer of TCEs, especially in the case of Tl. Improvements in analytical methods and detection limits will allow this to be further investigated in a wider variety of edible plants so that a risk profile may be developed

Soft and rigid core latex nanoparticles prepared by RAFT-mediated surfactant-free emulsion polymerization for cellulose modification – a comparative study

Latex nanoparticles comprising cationically charged coronas and hydrophobic cores with different glass transition temperatures (Tg) have been prepared by surfactant-free, RAFT-mediated emulsion polymerization, where the particles form through a polymerization-induced self-assembly (PISA) type mechanism. Poly(2-dimethylaminoethyl methacrylate-co-methacrylic acid) (P(DMAEMA-co-MAA)) was utilized as a hydrophilic macroRAFT agent for the polymerization of methyl methacrylate (MMA) or n-butyl methacrylate (nBMA), respectively, resulting in two different latexes, with either a core of high (PMMA) or low (PnBMA) Tg polymer. By varying the molar mass of the hydrophobic block, latexes of different sizes were obtained (DHca. 40–120 nm). The adsorption of the latexes to cellulose model surfaces and cellulose nanofibrils (CNF) was studied using quartz crystal microbalance with dissipation monitoring (QCM-D). The surfaces with adsorbed PnBMA latexes yielded hydrophobic surfaces both before and after annealing, whereas surfaces with adsorbed PMMA latex became hydrophobic only after annealing, clearly showing the influence of the Tg of the core. The latexes were also used to modify macroscopic cellulose in the form of filter papers. Similar to the CNF surfaces, no annealing was required to achieve hydrophobic surfaces with PnBMA latexes. Finally, nanocomposites of CNF and the polymer nanoparticles were prepared through a one-pot mixing procedure. It was found that the largest synthesized PMMA latex (120 nm) facilitated a more strainable CNF network at 50% relative humidity, with a nearly 200% increase in strain at break compared to the neat CNF reference film as well as to the composite films with PnBMA latexes or to the smaller sized PMMA latexes. This difference was attributed to the spherical shape and rigidity of the large PMMA latex nanoparticles during composite formation. This highly interesting result should indeed be considered in the future design of novel biocomposites.</p

Emotional stress as a trigger of falls leading to hip or pelvic fracture. Results from the ToFa study – a case-crossover study among elderly people in Stockholm, Sweden

<p>Abstract</p> <p>Background</p> <p>Sudden emotions may interfere with mechanisms for keeping balance among the elderly. The aim of this study is to analyse if emotional stress and specifically feelings of anger, sadness, worries, anxiety or stress, can trigger falls leading to hip or pelvic fracture among autonomous older people.</p> <p>Methods</p> <p>The study applied the case-crossover design and was based on data gathered by face to face interviews carried out in Stockholm between November 2004 and January 2006 at the emergency wards of two hospitals. Cases (n = 137) were defined as persons aged 65 and older admitted for at least one night due to a fall-related hip or pelvic fracture (ICD10: S72 or S32) and meeting a series of selection criteria. Results are presented as relative risks with 95% confidence intervals.</p> <p>Results</p> <p>There was an increased risk for fall and subsequent hip or pelvic fracture for up to one hour after emotional stress. For anger there was an increased relative risk of 12.2 (95% CI 2.7–54.7), for sadness of 5.7 (95% CI 1.1–28.7), and for stress 20.6 (95% CI 4.5–93.5) compared to periods with no such feelings.</p> <p>Conclusion</p> <p>Emotional stress seems to have the potential to trigger falls and subsequent hip or pelvic fracture among autonomous older people. Further studies are needed to clarify how robust the findings are – as the number of exposed cases is small – and the mechanisms behind them – presumably balance and vision impairment in stress situation.</p

Buoy geometry and its influence on survivability for a point absorbing wave energy converter: Scale experiment and CFD simulations

For wave energy to be an economically viable energy source, the technology has to withstand power levels during storms that can be close to 50 times higher than during normal operating conditions [1], and withstand many years of wear. The impact of high wave loads is studied not only within the field of wave energy, but has long been a subject of study for ships, platforms and other offshore structures. To model the force on the device under extreme and/or overtopping waves is a difficult task. Experiments are expensive and difficult to implement, and numerical methods are either very computationally demanding CFDmethods, or less accurate approximative methods. In addition, the performance and experienced forces during extreme waves are model dependent, and different offshore structures must be studied independently. Here, a 1:20 scale model of the Uppsala University point-absorber type wave energy converter (WEC) [2] has been tested in extreme wave conditions at the COAST Laboratory Ocean Basin at Plymouth University. The WEC consists of a linear generator connected to a buoy at the sea surface, and performance of two different buoys is studied: a cylinder and cylinder with moonpool. Two types of wave sets have been used: focused waves embedded into regular waves, and irregular waves. In [3], the line forces measured in the experiment were studied, since this is a parameter of high relevance for device survivability. The focus of this paper is on comparing the performance of the two buoys, and on analysing the experimental data using a numerical model. A fully non-linear computational fluid dynamics (CFD) model based on OpenFOAM is presented and validated

Differential expression analysis for sequence count data

*Motivation:* High-throughput nucleotide sequencing provides quantitative readouts in assays for RNA expression (RNA-Seq), protein-DNA binding (ChIP-Seq) or cell counting (barcode sequencing). Statistical inference of differential signal in such data requires estimation of their variability throughout the dynamic range. When the number of replicates is small, error modelling is needed to achieve statistical power.&#xd;&#xa;&#xd;&#xa;*Results:* We propose an error model that uses the negative binomial distribution, with variance and mean linked by local regression, to model the null distribution of the count data. The method controls type-I error and provides good detection power. &#xd;&#xa;&#xd;&#xa;*Availability:* A free open-source R software package, _DESeq_, is available from the Bioconductor project and from &#x22;http://www-huber.embl.de/users/anders/DESeq&#x22;:http://www-huber.embl.de/users/anders/DESeq

The Method of Images in Cosmology

31 pages, 18 figures31 pages, 18 figuresWe apply the method of images to the exact initial data for cosmological models that contain a number of regularly arranged discrete masses. This allows us to join cosmological regions together by throats, and to construct wormholes in the initial data. These wormholes allow for the removal of the asymptotically flat "flange" regions that would otherwise exist on the far side of black holes. The method of images also provides us with a way to investigate the definition of mass is cosmology, and the cosmological consequences of the gravitational interaction energies between massive objects. We find evidence that the interaction energies within clusters of massive objects do indeed appear to contribute to the total energy budget in the cosmological regions of the space-time

Charge-Fluctuation-Induced Non-analytic Bending Rigidity

In this Letter, we consider a neutral system of mobile positive and negative charges confined on the surface of curved films. This may be an appropriate model for: i) a highly charged membrane whose counterions are confined to a sheath near its surface; ii) a membrane composed of an equimolar mixture of anionic and cationic surfactants in aqueous solution. We find that the charge fluctuations contribute a non-analytic term to the bending rigidity that varies logarithmically with the radius of curvature. This may lead to spontaneous vesicle formation, which is indeed observed in similar systems.Comment: Revtex, 9 pages, no figures, submitted to PR

Deltagande Forskning – Lärdomar, resultat och erfarenheter från Växthusgruppens arbete 1999–2000

Centrum för uthålligt lantbruk (CUL) vid SLU har initierat ett pionjärarbete att få igång deltagande forskning inom lantbrukssektorn i Sverige. I denna rapport beskrivs den läro- och förändringsprocess, de framgångar och svårigheter, som en av de grupper som ingår i CUL:s satsning genomgått och mött under sitt arbete med deltagande forskning. De resultat gruppens försök och praktiska arbete lett fram till presenteras också. Rapporten är skriven av gruppens facilitator (Karin Eksvärd) efter att ha samtalat med gruppmedlemmarna enskilt och tillsammans om deltagarnas åsikter kring gruppens arbete och arbetsformer. Några av gruppdeltagarnas åsikter och uttalanden finns inlagda som citat i rapporten. Deltagarna har även haft möjlighet att kommentera rapporten under dess framtagande. Gruppens arbete har möjliggjorts genom att rådgivarna har arrangerat gruppens möten som kurser inom miljöstödsprogrammet. Det har varit ett givande och lärorikt arbete som fortsätter att öka vårt kunnande om ekologisk tomatodling, oss själva som grupp och sättet att arbeta. Vi hoppas att denna rapport skall inspirera fler lantbrukare, rådgivare och forskare att i högre grad samverka med varandra och att på detta sätt vidareutveckla svenskt lantbruk