Tunable local polariton modes in semiconductors

We study the local states within the polariton bandgap that arise due to deep defect centers with strong electron-phonon coupling. Electron transitions involving deep levels may result in alteration of local elastic constants. In this case, substantial reversible transformations of the impurity polariton density of states occur, which include the appearance/disappearance of the polariton impurity band, its shift and/or the modification of its shape. These changes can be induced by thermo- and photo-excitation of the localized electron states or by trapping of injected charge carriers. We develop a simple model, which is applied to the $O_P$ center in $GaP$. Further possible experimental realizations of the effect are discussed.Comment: 7 pages, 3 figure

A case of muscular bridge resulting in myocardial infraction following heavy effort: a case report

Muscular bridge (MB) is transient systolic coronary blockage occurring due to exposure of a portion of epicardial coronary arteries to compression during systole as a result of tunneling into the myocardium. Although rare, these patients may develop angina pectoris, severe arrhythmia and myocardial infraction (MI). A 30-year-old male patient presented to the emergency with severe pain with an onset at the front part of the chest followed by spreading to the back and arms, during a football match. The investigations performed revealed anterior wall infraction and thus thrombolytic treatment was administered. Patient's history was normal except for smoking. The patient was detected to play football occasionally since his childhood; however, we learnt that he had started playing without warm-up exercises at the last football match. Coronary angiography detected a lesion with an onset in the left anterior descending artery following the 1st diagonal and extending to the 2nd diagonal and exhibiting a significant contraction during systole. The patient was considered to have myocardial infraction secondary to myocardial bridge. Sudden deaths frequently occur in competitive sports requiring heavy effort

Atmospheric reactivity and oxidation capacity during summer at a suburban site between Beijing and Tianjin

Hydroxyl (OH) radicals, nitrate (NO3) radicals and ozone (O-3) play central roles in the troposphere because they control the lifetimes of many trace gases that result from anthropogenic and biogenic origins. To estimate the air chemistry, the atmospheric reactivity and oxidation capacity were comprehensively analyzed based on a parameterization method at a suburban site in Xianghe in the North China Plain from 6 July 2018 to 6 August 2018. The total OH, NO3 and O-3 reactivities at the site varied from 9.2 to 69.6, 0.7 to 27.5 and 3.3 x 10(-4 )to 1.8 x 10(-2) s(-1) with campaign-averaged values of 27.5 +/- 9.7, 2.2 +/- 2.6 and 1.2 +/- 1.7 x 10(-3) s(-1) (+/- standard deviation), respectively. NOx (NO + NO2) was by far the main contributor to the reactivities of the three oxidants, with average values of 43 %-99 %. Alkenes dominated the OH, NO3 and O-3 reactivities towards total nonmethane volatile organic compounds (NMVOCs), accounting for 42.9 %, 77.8 % and 94.0 %, respectively. The total OH, NO3 and O-3 reactivi- ties displayed similar diurnal variations with the lowest values during the afternoon but the highest values during rush hours, and the diurnal profile of NOx appears to be the major driver for the diurnal profiles of the reactivities of the three oxidants. A box model (a model to Simulate the concentrations of Organic vapors, Sulfuric Acid and Aerosols; SOSAA) derived from a column chemical transport model was used to simulate OH and NO3 concentrations during the observation period. The calculated atmospheric oxidation capacity (AOC) reached 4.5 x 10(8) molecules cm(-3) s(-1), with a campaign-averaged value of 7.8 x 10 7 molecules cm(-3) s(-1) dominated by OH (7.7 x 10(7) molecules cm(-3) s(-1), 98.2 %), 0 3 (1.2 x 10(6) molecules cm(-3) s(-1), 1.5 %) and NO3 (1.8 x 10(5) molecules cm(-3) s(-1), 0.3 %). Overall, the integration of OH, NO3 and O-3 reactivities analysis could provide useful insights for NMVOC pollution control in the North China Plain. We suggest that further studies, especially direct observations of OH and NO3 radical concentrations and their reactivities, are required to better understand trace gas reactivity and AOC.Peer reviewe

The recent shift in early summer Arctic atmospheric circulation

1 The last six years (2007-2012) show a persistent change in early summer Arctic wind patterns relative to previous decades. The persistent pattern, which has been previously recognized as the Arctic Dipole (AD), is characterized by relatively low sea-level pressure over the Siberian Arctic with high pressure over the Beaufort Sea, extending across northern North America and over Greenland. Pressure differences peak in June. In a search for a proximate cause for the newly persistent AD pattern, we note that the composite 700 hPa geopotential height field during June 2007-2012 exhibits a positive anomaly only on the North American side of the Arctic, thus creating the enhanced mean meridional flow across the Arctic. Coupled impacts of the new persistent pattern are increased sea ice loss in summer, long-lived positive temperature anomalies and ice sheet loss in west Greenland, and a possible increase in Arctic-subarctic weather linkages through higheramplitude upper-level flow. The North American location of increased 700 hPa positive anomalies suggests that a regional atmospheric blocking mechanism is responsible for the presence of the AD pattern, consistent with observations of unprecedented high pressure anomalies over Greenland since 2007. ©2012. American Geophysical Union. All Rights Reserved

Proteomics as a Method for Early Detection of Cancer: A Review of Proteomics, Exhaled Breath Condensate, and Lung Cancer Screening

The study of expressed proteins in neoplasia is undergoing a revolution with the advent of proteomic analysis. Unlike genomic studies where individual changes may have no functional significance, protein expression is closely aligned with cellular activity. This perspective will review proteomics as a method of detecting markers of neoplasia with a particular emphasis on lung cancer and the potential to sample the lung by exhaled breath condensate (EBC). EBC collection is a simple, new, and noninvasive technique, which allows sampling of lower respiratory tract fluid. EBC enables the study of a wide variety of biological markers from low molecular weight mediators to macromolecules, such as proteins, in a range of pulmonary diseases. EBC may be applied to the detection of lung cancer where it could be a tool in early diagnosis. This perspective will explore the potential of applying proteomics to the EBC from lung cancer patients as an example of detecting potential biomarkers of disease and progression

Presentation and Outcome of Tuberculous Meningitis in a High HIV Prevalence Setting

Mycobacterium tuberculosis is a common, devastating cause of meningitis in HIV-infected persons. Due to international rollout programs, access to antiretroviral therapy (ART) is increasing globally. Starting patients with HIV-associated tuberculous meningitis (TBM) on ART during tuberculosis (TB) treatment may increase survival in these patients. We undertook this study to describe causes of meningitis at a secondary-level hospital in a high HIV/TB co-infection setting and to determine predictors of mortality in patients with TBM.A retrospective review of cerebrospinal fluid findings and clinical records over a six-month period (March 2009-August 2009). Definite, probable and possible TBM were diagnosed according to published case definitions.TBM was diagnosed in 120/211 patients (57%) with meningitis. In 106 HIV-infected patients with TBM, six-month all-cause mortality was lower in those who received antiretroviral therapy (ART) during TB treatment; hazard ratio = 0.30 (95% CI = 0.08-0.82). Factors associated with inpatient mortality in HIV-infected patients were 1) low CD4(+) count at presentation; adjusted odds ratio (AOR) = 1.4 (95% confidence interval [CI] = 1.03-1.96) per 50 cells/µL drop in CD4(+) count and, 2) higher British Medical Research Council TBM disease grade (2 or 3 versus 1); AOR = 4.8 (95% CI = 1.45-15.87).Starting ART prior to or during TB treatment may be associated with lower mortality in patients with HIV-associated TBM. Advanced HIV and worse stage of TBM disease predict in-hospital mortality in patients presenting with TBM

Evaluation of an online Diabetes Needs Assessment Tool (DNAT) for health professionals: a randomised controlled trial

Background: Continuous medical education is traditionally reliant to a large extent on self-directed learning based on individuals' perceived learning priorities. Evidence suggests that this ability to self-assess is limited, and more so in the least competent. Therefore, it may be of benefit to utilise some form of external assessment for this purpose. Many diabetes educational programmes have been introduced, but few have been assessed for their benefit in a systematic manner. As diabetes is an increasingly prevalent disease, methods for the dissemination and understanding of clinical guidelines need to be explored for their effectiveness. This paper describes the study design of a randomised controlled trial to evaluate the effectiveness of using an interactive online Diabetes Needs Assessment Tool (DNAT), that builds a learning curriculum based on identified knowledge gaps, compared with conventional self-directed learning. The study assesses the effect of these interventions on health professionals' knowledge of diabetes management, evaluates the acceptability of this process of learning and self-reported changes in clinical practice as a result of this novel educational process. Methods: Following a baseline assessment, participants will be randomised to undergo a 4-month learning period where they will either be given access to the diabetes learning modules alone (control group) or a Diabetes Needs Assessment Tool (DNAT) plus the diabetes learning modules (intervention group). On completion of the DNAT, a personalised learning report will be created for each participant identifying needs alongside individualised recommendations of the most appropriate learning modules to meet those requirements. All participants will complete a Diabetes Knowledge Test before and immediately after the allocated learning and the primary outcome will be the state of knowledge at 4 months. Learners will also be surveyed immediately after the learning period to assess the acceptability of the learning formats and the perceived usefulness and usability of the materials. After a further month, all learners will receive a series of questions to evaluate self-reported changes in clinical practice as a result of this educational experience and asked to include specific examples of any changes in their diabetes care practice

Current trends in drug metabolism and pharmacokinetics.

Pharmacokinetics (PK) is the study of the absorption, distribution, metabolism, and excretion (ADME) processes of a drug. Understanding PK properties is essential for drug development and precision medication. In this review we provided an overview of recent research on PK with focus on the following aspects: (1) an update on drug-metabolizing enzymes and transporters in the determination of PK, as well as advances in xenobiotic receptors and noncoding RNAs (ncRNAs) in the modulation of PK, providing new understanding of the transcriptional and posttranscriptional regulatory mechanisms that result in inter-individual variations in pharmacotherapy; (2) current status and trends in assessing drug-drug interactions, especially interactions between drugs and herbs, between drugs and therapeutic biologics, and microbiota-mediated interactions; (3) advances in understanding the effects of diseases on PK, particularly changes in metabolizing enzymes and transporters with disease progression; (4) trends in mathematical modeling including physiologically-based PK modeling and novel animal models such as CRISPR/Cas9-based animal models for DMPK studies; (5) emerging non-classical xenobiotic metabolic pathways and the involvement of novel metabolic enzymes, especially non-P450s. Existing challenges and perspectives on future directions are discussed, and may stimulate the development of new research models, technologies, and strategies towards the development of better drugs and improved clinical practice

The impact of tides on the capillary transition zone

The capillary transition zone, also known as the capillary fringe, is a zone where water saturations decrease with height above the water table/oil–water contact as a result of capillary action. In some oil reservoirs, this zone may contain a significant proportion of the oil in place. In groundwater assessments, the capillary fringe can profoundly affect contaminant transport. In this study, we investigated the influence of a tidally induced, semi-diurnal, change in water table depth on the water saturation distribution in the capillary fringe/transition zone. The investigation used a mixture of laboratory experiments, in which the change in saturation with depth was monitored over a period of 90 days, and numerical simulation. We show that tidal changes in water table depth can significantly alter the vertical water saturation profile from what would be predicted using capillary–gravity equilibrium and the drainage or imbibition capillary pressure curves

Tightening slip knots in raw and degummed silk to increase toughness without losing strength

NMP is supported by the European Research Council (ERC StG Ideas 2011 BIHSNAM n. 279985 on “Bio-Inspired hierarchical super-nanomaterials”, ERC PoC 2013-1 REPLICA2 n. 619448 on “Large-area replication of biological anti-adhesive nanosurfaces”, ERC PoC 2013-2 KNOTOUGH n. 632277 on “Super-tough knotted fibres”), by the European Commission under the Graphene Flagship (WP10 “Nanocomposites”, n. 604391) and by the Provincia Autonoma di Trento (“Graphene Nanocomposites”, n. S116/2012-242637 and reg.delib. n. 2266)