RKD Artists &

Review: Produced by the RKD – Netherlands Institute for Art History, RKDartists& makes up one part of the institute’s digital search platform, RKD Explore. Launched in 2014 and offering over 380,000 records at the time of review, the freely accessible database provides a comprehensive and authoritative resource for biographical information on Dutch and foreign artists from the Middle Ages to the present day

Lower Extremity Morel-Lavallee Lesion in an NFL Player: A Case Study

Please enjoy Volume 6, Issue 1 of the JSMAHS. In this issue, you will find Professional, Graduate, and Undergraduate research abstracts, and case reports. Thank you for viewing this 6th Annual OATA Special Edition

Searching for an Anthropo(s)cene in the uplands of mid Wales

This essay presents the responses of four creative writers to the highly modified landscapes of the Cambrian Mountains in mid Wales. Through a tour of the historic mine site of Cwmystwyth and the dams of Cwm Elan, our aims were to engage with the concept of the Anthropocene in a landscape that could be emblematic of the proposed new geological interval. Through poems and prose inspired by these landscapes, the physical, social, cultural, and political processes shaping them are explored. The pieces have a strong sense of place, and touch on themes of pollution of the environment by heavy metals, geomorphological impacts of dams, and the human stories associated with those places. We demonstrate the great potential of such places and landscapes as sites where artistic creativity and science can engage and collaborate to find ways of communicating concepts such as the Anthropocene and the anthroposcenic

Anomalous evolution of the magnetocaloric effect in dilute triangular Ising antiferromagnets Tb1−xYx(HCO2)3Tb_{1-x}Y_{x}(HCO_{2})_{3}

We investigate the effects of diamagnetic doping in the solid-solution series $Tb_{1-x}Y_{x}(HCO_{2})_{3}$, in which the parent $Tb(HCO_{2})_{3}$ phase has previously been shown to host a combination of frustrated and quasi-1D physics, giving rise to a triangular Ising antiferromagnetic ground state that lacks long range 3D order. Heat capacity measurements show three key features: (i) a low temperature Schottky anomaly is observed, which is constant as a function of x; (ii) the transition temperature and associated entropy change are both surprisingly robust to diamagnetic doping; and (iii) an additional contribution at T < 0.4 K appears with increasing x. The origin of this unusual behaviour is rationalised in terms of the fragmentation of quasi-1D spin chains by the diamagnetic $Y^{3+}$ dopant. Magnetocaloric measurements show a nonlinear dependence on x. The mass-weighted magnetocaloric entropy decreases across the series from the promising values in $Tb(HCO_{2})_{3}$; however, the magnetocaloric entropy per magnetic $Tb^{3+}$ ion first decreases then increases with increasing x. Our results establish $Tb_{1-x}Y_{x}(HCO_{2})_{3}$ as a model system in which to explore the functional ramifications of dilution in a low-dimensional magnet.Comment: 11 pages and 5 figures excluding supplementary informatio

A record of Neogene seawater δ11B reconstructed from paired δ11B analyses on benthic and planktic foraminifera

The work was supported by NERC grants NE/I006176/1 (Gavin L. Foster and Caroline H. Lear), NE/H006273/1 (Gavin L. Foster), NE/I006168/1 and NE/K014137/1 and a Royal Society Research Merit Award (Paul A. Wilson), a NERC Independent Research Fellowship NE/K00901X/1 (Mathis P. Hain) and a NERC studentship (Rosanna Greenop).The boron isotope composition (δ11B) of foraminiferal calcite reflects the pH and the boron isotope composition of the seawater the foraminifer grew in. For pH reconstructions, the δ11B of seawater must therefore be known, but information on this parameter is limited. Here we reconstruct Neogene seawater δ11B based on the δ11B difference between paired measurements of planktic and benthic foraminifera and an estimate of the coeval water column pH gradient from their δ13C values. Carbon cycle model simulations underscore that the ΔpH-Δδ13C relationship is relatively insensitive to ocean and carbon cycle changes, validating our approach. Our reconstructions suggest that δ11Bsw was ∼37.5‰ during the early and middle Miocene (roughly 23-12 Ma) and rapidly increased during the late Miocene (between 12 and 5 Ma) towards the modern value of 39.61 ‰. Strikingly, this pattern is similar to the evolution of the seawater isotope composition of Mg, Li and Ca, suggesting a common forcing mechanism. Based on the observed direction of change, we hypothesize that an increase in secondary mineral formation during continental weathering affected the isotope composition of riverine input to the ocean since 14 Ma.Publisher PDFPeer reviewe

Comparing climate sensitivity, past and present

Climate sensitivity represents the global mean temperature change caused by changes in the radiative balance of climate; it is studied for both present/future (actuo) and past (paleo) climate variations, with the former based on instrumental records and/or various types of model simulations. Paleo-estimates are often considered informative for assessments of actuo-climate change caused by anthropogenic greenhouse forcing, but this utility remains debated because of concerns about the impacts of uncertainties, assumptions, and incomplete knowledge about controlling mechanisms in the dynamic climate system, with its multiple interacting feedbacks and their potential dependence on the climate background state. This is exacerbated by the need to assess actuo- and paleoclimate sensitivity over different timescales, with different drivers, and with different (data and/or model) limitations. Here, we visualize these impacts with idealized representations that graphically illustrate the nature of time-dependent actuo- and paleoclimate sensitivity estimates, evaluating the strengths, weaknesses, agreements, and differences of the two approaches. We also highlight priorities for future research to improve the use of paleo-estimates in evaluations of current climate change.E.J.R. and G.M. acknowledge support from the Australian Research Council via Australian Laureate Fellowship FL120100050. A.S.v.d.H. acknowledges support from the Netherlands Earth System Science Centre, financially supported by the Ministry of Education, Culture, and Science. P.K. is funded by Polar Regions and Coasts in the Changing Earth System II (PACES II), the Helmholtz research program to which the Alfred Wegener Institute contributes

Evaluating predictive pharmacogenetic signatures of adverse events in colorectal cancer patients treated with fluoropyrimidines

The potential clinical utility of genetic markers associated with response to fluoropyrimidine treatment in colorectal cancer patients remains controversial despite extensive study. Our aim was to test the clinical validity of both novel and previously identified markers of adverse events in a broad clinical setting. We have conducted an observational pharmacogenetic study of early adverse events in a cohort study of 254 colorectal cancer patients treated with 5-fluorouracil or capecitabine. Sixteen variants of nine key folate (pharmacodynamic) and drug metabolising (pharmacokinetic) enzymes have been analysed as individual markers and/or signatures of markers. We found a significant association between TYMP S471L (rs11479) and early dose modifications and/or severe adverse events (adjusted OR = 2.02 [1.03; 4.00], p = 0.042, adjusted OR = 2.70 [1.23; 5.92], p = 0.01 respectively). There was also a significant association between these phenotypes and a signature of DPYD mutations (Adjusted OR = 3.96 [1.17; 13.33], p = 0.03, adjusted OR = 6.76 [1.99; 22.96], p = 0.002 respectively). We did not identify any significant associations between the individual candidate pharmacodynamic markers and toxicity. If a predictive test for early adverse events analysed the TYMP and DPYD variants as a signature, the sensitivity would be 45.5 %, with a positive predictive value of just 33.9 % and thus poor clinical validity. Most studies to date have been under-powered to consider multiple pharmacokinetic and pharmacodynamic variants simultaneously but this and similar individualised data sets could be pooled in meta-analyses to resolve uncertainties about the potential clinical utility of these markers

Development of a hot-melt extrusion (HME) process to produce drug loaded Affinisol™ 15LV filaments for Fused Filament Fabrication (FFF) 3D printing

The aim of the present work was to develop a pilot scale process to produce drug-loaded filaments for 3D printing of oral solid dose forms by fused filament fabrication (FFF). Using hot melt extrusion, a viable operating space and understanding of processing limits were established using a hydrophilic polymer (hydroxypropyl methylcellulose (HPMC) - Affinisol™ LV15). This was then extended to formulate paracetamol (PCM) loaded Affinisol™ 15LV filaments across a wide range of compositions (5 - 50 wt% drug). From the process development work, challenges in achieving a pilot scale process for filament production for pharmaceutical applications have been highlighted. 3D printing trials across the range of compositions demonstrated limitations concerning the ability to print successfully across all compositions. Results from characterisation techniques including thermal and mechanical testing when applied to the formulated filaments indicated that these techniques are a useful predictive measure for assessing the ability to print a given formulation via filament methods. Oral solid dosage forms of variable surface area to mass ratios printed from suitable filament compositions demonstrated the ability to modify the release rates of drug for fixed formulations across substantial timescales

Airway management during in-hospital cardiac arrest in adults: UK national survey and interview study with anaesthetic and intensive care trainees

Background: The optimal airway management strategy for in-hospital cardiac arrest is unknown. Methods: An online survey and telephone interviews with anaesthetic and intensive care trainee doctors identified by the United Kingdom Research and Audit Federation of Trainees. Questions explored in-hospital cardiac arrest frequency, grade and specialty of those attending, proportion of patients receiving advanced airway management, airway strategies immediately available, and views on a randomised trial of airway management strategies during in-hospital cardiac arrest. Results: Completed surveys were received from 128 hospital sites (76% response rate). Adult in-hospital cardiac arrests were attended by anaesthesia staff at 40 sites (31%), intensive care staff at 37 sites (29%) and a combination of specialties at 51 sites (40%). The majority (123/128, 96%) of respondents reported immediate access to both tracheal intubation and supraglottic airways. A bag-mask technique was used ‘very frequently’ or ‘frequently’ during in-hospital cardiac arrest by 111/128 (87%) of respondents, followed by supraglottic airways (101/128, 79%) and tracheal intubation (69/128, 54%). The majority (60/100, 60%) of respondents estimated that ≤30% of in-hospital cardiac arrest patients undergo tracheal intubation, while 34 (34%) estimated this to be between 31% and 70%. Most respondents (102/128, 80%) would be ‘likely’ or ‘very likely’ to recruit future patients to a trial of alternative airway management strategies during in-hospital cardiac arrest. Interview data identified several barriers and facilitators to conducting research on airway management in in-hospital cardiac arrest. Conclusions: There is variation in airway management strategies for adult in-hospital cardiac arrest across the UK. Most respondents would be willing to take part in a randomised trial of airway management during in-hospital cardiac arrest

Role of nickel in high rate methanol degradation in anaerobic granular sludge bioreactors

The effect of nickel deprivation from the influent of a mesophilic (30°C) methanol fed upflow anaerobic sludge bed (UASB) reactor was investigated by coupling the reactor performance to the evolution of the Methanosarcina population of the bioreactor sludge. The reactor was operated at pH 7.0 and an organic loading rate (OLR) of 5–15 g COD l−1 day−1 for 191 days. A clear limitation of the specific methanogenic activity (SMA) on methanol due to the absence of nickel was observed after 129 days of bioreactor operation: the SMA of the sludge in medium with the complete trace metal solution except nickel amounted to 1.164 (±0.167) g CH4-COD g VSS−1 day−1 compared to 2.027 (±0.111) g CH4-COD g VSS−1 day−1 in a medium with the complete (including nickel) trace metal solution. The methanol removal efficiency during these 129 days was 99%, no volatile fatty acid (VFA) accumulation was observed and the size of the Methanosarcina population increased compared to the seed sludge. Continuation of the UASB reactor operation with the nickel limited sludge lead to incomplete methanol removal, and thus methanol accumulation in the reactor effluent from day 142 onwards. This methanol accumulation subsequently induced an increase of the acetogenic activity in the UASB reactor on day 160. On day 165, 77% of the methanol fed to the system was converted to acetate and the Methanosarcina population size had substantially decreased. Inclusion of 0.5 μM Ni (dosed as NiCl2) to the influent from day 165 onwards lead to the recovery of the methanol removal efficiency to 99% without VFA accumulation within 2 days of bioreactor operation