3,299 research outputs found

    Ebola Virus Localization in the Macaque Reproductive Tract during Acute Ebola Virus Disease.

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    Sexual transmission of Ebola virus (EBOV) has been demonstrated more than a year after recovery from the acute phase of Ebola virus disease (EVD). The mechanisms underlying EBOV persistence and sexual transmission are not currently understood. Using the acute macaque model of EVD, we hypothesized EBOV would infect the reproductive tissues and sought to localize the infection in these tissues using immunohistochemistry and transmission electron microscopy. In four female and eight male macaques that succumbed to EVD between 6 and 9 days after EBOV challenge, we demonstrate widespread EBOV infection of the interstitial tissues and endothelium in the ovary, uterus, testis, seminal vesicle, epididymis, and prostate gland, with minimal associated tissue immune response or organ pathology. Given the widespread involvement of EBOV in the reproductive tracts of both male and female macaques, it is reasonable to surmise that our understanding of the mechanisms underlying sexual transmission of EVD and persistence of EBOV in immune-privileged sites would be facilitated by the development of a nonhuman primate model in which the macaques survived past the acute stage into convalescence

    Real-Time Control, Acquisition and Data Treatment for Beam Current Transformers in a Transfer Line

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    Particle beams are transferred from the 1 GeV Booster to the 26 GeV Proton Synchrotron and to an experimental area, ISOLDE. The characteristics of the beams and their destination change on a 1.2 s cycle basis. There are six beam current transformers to measure the beam intensities, i.e. the number of particles passing through the transfer lines. On each pulse of the Booster, a real-time system, called BTTR (Beam Transfer TRansformers), acquires the transformer values, selects the range, executes a calibration, and treats the data. Part of the treatment is the subtraction of the base-value, which includes systematic perturbations, acquired in the absence of beam. The system also handles asynchronous tasks, such as acquisition of base-value, readout of calibration factors and other diagnostic actions. The concept of the BTTR and its design are presented, as well as some practical results

    Dielectronic Recombination of Fe XV forming Fe XIV: Laboratory Measurements and Theoretical Calculations

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    We have measured resonance strengths and energies for dielectronic recombination (DR) of Mg-like Fe XV forming Al-like Fe XIV via N=3 -> N' = 3 core excitations in the electron-ion collision energy range 0-45 eV. All measurements were carried out using the heavy-ion Test Storage Ring at the Max Planck Institute for Nuclear Physics in Heidelberg, Germany. We have also carried out new multiconfiguration Breit-Pauli (MCBP) calculations using the AUTOSTRUCTURE code. For electron-ion collision energies < 25 eV we find poor agreement between our experimental and theoretical resonance energies and strengths. From 25 to 42 eV we find good agreement between the two for resonance energies. But in this energy range the theoretical resonance strengths are ~ 31% larger than the experimental results. This is larger than our estimated total experimental uncertainty in this energy range of +/- 26% (at a 90% confidence level). Above 42 eV the difference in the shape between the calculated and measured 3s3p(^1P_1)nl DR series limit we attribute partly to the nl dependence of the detection probabilities of high Rydberg states in the experiment. We have used our measurements, supplemented by our AUTOSTRUCTURE calculations, to produce a Maxwellian-averaged 3 -> 3 DR rate coefficient for Fe XV forming Fe XIV. The resulting rate coefficient is estimated to be accurate to better than +/- 29% (at a 90% confidence level) for k_BT_e > 1 eV. At temperatures of k_BT_e ~ 2.5-15 eV, where Fe XV is predicted to form in photoionized plasmas, significant discrepancies are found between our experimentally-derived rate coefficient and previously published theoretical results. Our new MCBP plasma rate coefficient is 19-28% smaller than our experimental results over this temperature range

    Managing weight and glycaemic targets in people with type 2 diabetes—How far have we come?

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    Introduction: As the vast majority of people with type 2 diabetes (T2D) are also overweight or obese, healthcare professionals (HCP) are faced with the task of addressing both weight management and glucose control. In this narrative review, we aim to identify the challenges of reaching and maintaining body weight targets in people with T2D and highlight current and future treatment interventions. Methods: A search of the PubMed database was conducted using the search terms “diabetes” and “weight loss.”. Results: According to emerging evidence, treating obesity may be antecedent to the development and progression of T2D. While clinical benefits typically set in upon achieving a weight loss of 3–5%, these benefits are progressive leading to further health improvements, and weight loss of &gt;15% can have a disease-modifying effect in people with T2D, an outcome that up to recently could not be achieved with any blood glucose-lowering pharmacotherapy. However, advanced treatment options with weight-loss effects currently in development including the dual GIP/GLP-1 receptor agonists may enable simultaneous achievement of individual glycemic and weight goals. Conclusion: Despite considerable therapeutic progress, there is still a large unmet medical need in patients with T2D who miss their individualized glycemic and weight-loss targets. Nonetheless, it is to be expected that development of future therapies and their use will favourably change the scenario of weight and glucose control in T2D

    Myocarditis in Athletes Is a Challenge: Diagnosis, Risk Stratification, and Uncertainties

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    Presentation of myocarditis in athletes is heterogeneous and establishing the diagnosis is challenging with no current uniform clinical gold standard. The combined information from symptoms, electrocardiography, laboratory testing, echocardiography, cardiac magnetic resonance imaging, and in certain cases endomyocardial biopsy helps to establish the diagnosis. Most patients with myocarditis recover spontaneously; however, athletes may be at higher risk of adverse cardiac events. Based on scarce evidence and mainly autopsy studies and expert\u27s opinions, current recommendations generally advise abstinence from competitive sports ranging from a minimum of 3 to 6 months. However, the dilemma poses that (un)necessary prolonged disqualification of athletes to avoid adverse cardiac events can cause considerable disruption to training schedules and tournament preparation and lead to a decline in performance and ability to compete. Therefore, better risk stratification tools are imperatively needed. Using latest available data, this review contrasts existing recommendations and presents a new proposed diagnostic flowchart putting a greater focus on the use of cardiac magnetic resonance imaging in athletes with suspected myocarditis. This may enable cardiac caregivers to counsel athletes with suspected myocarditis more systematically and furthermore allow for pooling of more unified data. To modify recommendations regarding sports behavior in athletes with myocarditis, evidence, based on large multicenter registries including cardiac magnetic resonance imaging and endomyocardial biopsy, is needed. In the future, physicians might rely on combined novel risk stratification methods, by implementing both noninvasive and invasive tissue characterization methods

    Evaluating privacy-preserving record linkage using cryptographic long-term keys and multibit trees on large medical datasets.

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    Background: Integrating medical data using databases from different sources by record linkage is a powerful technique increasingly used in medical research. Under many jurisdictions, unique personal identifiers needed for linking the records are unavailable. Since sensitive attributes, such as names, have to be used instead, privacy regulations usually demand encrypting these identifiers. The corresponding set of techniques for privacy-preserving record linkage (PPRL) has received widespread attention. One recent method is based on Bloom filters. Due to superior resilience against cryptographic attacks, composite Bloom filters (cryptographic long-term keys, CLKs) are considered best practice for privacy in PPRL. Real-world performance of these techniques using large-scale data is unknown up to now. Methods: Using a large subset of Australian hospital admission data, we tested the performance of an innovative PPRL technique (CLKs using multibit trees) against a gold-standard derived from clear-text probabilistic record linkage. Linkage time and linkage quality (recall, precision and F-measure) were evaluated. Results: Clear text probabilistic linkage resulted in marginally higher precision and recall than CLKs. PPRL required more computing time but 5 million records could still be de-duplicated within one day. However, the PPRL approach required fine tuning of parameters. Conclusions: We argue that increased privacy of PPRL comes with the price of small losses in precision and recall and a large increase in computational burden and setup time. These costs seem to be acceptable in most applied settings, but they have to be considered in the decision to apply PPRL. Further research on the optimal automatic choice of parameters is needed

    Spin dependent fragmentation functions at Belle

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    The Belle detector at the KEKB e+e− collider provides large amounts of statistics to study the fragmentation of light quarks into final state hadrons. In addition to unpolarized fragmentation functions also spin dependent fragmentation can be studied. Belle has successfully extracted asymmetries related to the Collins and interference fagmentation functions for charged pions

    Report from the CVOT Summit 2020: new cardiovascular and renal outcomes

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    The 6th Cardiovascular Outcome Trial (CVOT) Summit “Cardiovascular and Renal Outcomes 2020” was the first to be held virtually on October 29–30, 2020. As in previous years, this summit served as reference meeting for in-depth discussions on the topic of recently completed and presented major outcome trials. This year, focus was placed on the outcomes of VERTIS-CV, EMPEROR-Reduced, DAPA-CKD, and FIDELIO-DKD. Trial implications for diabetes management and the impact on new treatment algorithms were highlighted for diabetologists, cardiologists, endocrinologists, nephrologists, and general practitioners. Discussion evolved from major outcome trials using SGLT-2 inhibitors for treatment and prevention of heart failure and chronic kidney disease in people with and without diabetes, to additional therapy options for chronic kidney disease with a novel mineralocorticoid receptor antagonist. Furthermore, challenges in diabetes management like COVID-19 and obesity, as well as novel treatment strategies and guidelines, were discussed. The 7th Cardiovascular Outcome Trial Summit will be held virtually on November, 18–19, 2021 (http://www.cvot.org)

    Propagation and nanofocusing of infrared surface plasmons on tapered transmission lines: Influence of the substrate

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    We study the propagation of mid-infrared surface plasmons on non-tapered and tapered two-wire transmission lines on Si and CaF 2 substrates, the two materials representing substrates with large and small refractive index, respectively. A comparative numerical study predicts a larger effective wavelength and an increased propagation length (i.e. weaker damping) for the CaF 2 substrate. By near-field microscopy we image the near-field distribution along the transmission lines and experimentally verify surface plasmon propagation. Amplitude- and phase-resolved near-field images of a non-tapered transmission line on CaF 2 reveal a standing wave pattern caused by back-reflection of the surface plasmons at the open-ended transmission line. Calculated and experimental near-field images of tapered transmission lines on Si and CaF 2 demonstrate that for both substrates the mid-IR surface plasmons are compressed when propagating along the taper. Importantly, the nanofocus at the taper apex yields a stronger local field enhancement for the low-refractive index substrate CaF 2. We assign the more efficient nanofocusing on CaF 2 to the weaker damping of the surface plasmons.Fil: Sarriugarte, P.. No especifíca;Fil: Schnell, M.. No especifíca;Fil: Alonso González, P.. No especifíca;Fil: Arzubiaga, L.. No especifíca;Fil: Golmar, Federico. Instituto Nacional de Tecnología Industrial; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Casanova, F.. No especifíca;Fil: Hueso, L. E.. No especifíca;Fil: Hillenbrand, R.. No especifíca
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