The Southern Version of Cursor Mundi, Vol. IV

The medieval poem Cursor Mundi is a biblical verse account of the history of the world, offering a chronological overview of salvation history from Creation to Doomsday. Originating in northern England around the year 1300, the poem was frequently copied in the north before appearing in a southern version in substantially altered form. Although it is a storehouse of popular medieval biblical lore and a fascinating study in the eclectic use of more than a dozen sources, the poem has until now attracted little scholarly attention. This five-part collaborative edition presents the Arundel version of the poem with variants from three others. In addition it provides a discussion of sources and analogues, detailed explanatory notes, and a bibliography

From Nested-Loop to Join Queries in OODB

Most declarative SQL-like query languages for object-oriented database systems are orthogonal languages allowing for arbitrary nesting of expressions in the select-, from-, and where-clause. Expressions in the from-clause may be base tables as well as set-valued attributes. In this paper, we propose a general strategy for the optimization of nested OOSQL queries. As in the relational model, the translation/optimization goal is to move from tuple- to set-oriented query processing. Therefore, OOSQL is translated into the algebraic language ADL, and by means of algebraic rewriting nested queries are transformed into join queries as far as possible. Three different optimization options are described, and a strategy to assign priorities to options is proposed

A thin-film magnetoresistive angle detector

An overview is given of the results of our research on a contactless angle detector based on the anisotropic magnetoresistance effect (AMR effect) in a permalloy thin film. The results of high-temperature annealing treatment of the pemalloy film are discussed. Such a treatment suppresses the effects of the uniaxial magnetic anisotropy that is present in a permalloy thin film and increases the AMR effect, thus improving the detector signal. The performance of the detector throughout a temperature range of 20 to 120 °C and the results of heat treatment at 125 °C for 1 week have been tested

Advanced practice providers versus medical residents as leaders of rapid response teams:A 12-month retrospective analysis

Purpose In a time of worldwide physician shortages, the advanced practice providers (APPs) might be a good alternative for physicians as the leaders of a rapid response team. This retrospective analysis aimed to establish whether the performance of APP-led rapid response teams is comparable to the performance of rapid response teams led by a medical resident of the ICU. Material and methods In a retrospective single-center cohort study, the electronic medical record of a tertiary hospital was queried during a 12-months period to identify patients who had been visited by our rapid response team. Patient- and process-related outcomes of interventions of rapid response teams led by an APP were compared with those of teams led by a medical resident using various parameters, including the MAELOR tool, which measures the performance of a rapid response team. Results In total, 179 responses of the APP-led teams were analyzed, versus 275 responses of the teams led by a resident. Per APP, twice as many calls were handled than per resident. Interventions of teams led by APPs, and residents did not differ in number of admissions (p = 0.87), mortality (p = 0.8), early warning scores (p = 0.2) or MAELOR tool triggering (p = 0.19). Both groups scored equally on time to admission (p = 0.67) or time until any performed intervention. Conclusion This retrospective analysis showed that the quality of APP-led rapid response teams was similar to the quality of teams led by a resident. These findings need to be confirmed by prospective studies with balanced outcome parameters

Signs of immaturity of splenic dendritic cells from the autoimmune prone biobreeding rat: consequences for the in vitro expansion of regulator and effector T cells

From the biobreeding-diabetic prone (BB-DP) rat, an animal model for endocrine autoimmunity, phenotype and function of splenic dendritic cells (DC) were studied. Furthermore, the suppressive effect of peritoneal macrophages (pMphi) from the BB-DP rat in the MLR was investigated. Lower numbers of splenic DC were isolated from BB-DP rats than from control Wistar rats. In the preautoimmune phase, DC of the BB-DP rat had a lower surface MHC class II expression (and in preliminary data, a lower CD80 expression), ingested more bacteria, and had a lower stimulatory potency in the syngeneic (syn)MLR as compared with control DC. During disease development, the MHC class II expression further decreased, and a low stimulatory activity became evident in the allogeneic (allo)MLR. With regard to the expansion of suppressor/regulatory T cells, a lower percentage of RT6+ T cells but higher percentages of CD45RClow T cells were induced by BB-DP DC in synMLR, but not in alloMLR. An increase in the CD4/CD8 T cell ratio was observed in both the syn- and alloMLR due to a relative weak expansion of CD8+ T cells with DC of the BB-DP rat. Resident pMphi isolated from BB-DP or Wistar rats were equally effective in suppressing the DC-driven synMLR. In conclusion, splenic DC from the BB-DP rat have a lower accessory cell function already at young age, before the development of disease, and expanded different subsets of effector/suppressor T cells in vitro as compared with those from Wistar rats. The dysfunction of DC from BB-DP rats is likely to be caused by their relative immaturity as indicated by their low class II and costimulatory molecule expression and relatively high phagocytic activity

Prevention of fracture at the distal locking site of the gamma nail. A biomechanical study

To investigate the origin of fractures at the distal locking site of the Gamma nail, we loaded ten paired human cadaver femora fixed with a Gamma nail in torsion until they fractured. When an awl was hammered in to start the hole for distal locking a fissure appeared in the lateral cortex of all the femora, and the mean torsional load to create a fracture was reduced by 57.8% compared with that in a control group in which the distal locking hole had been started with a centre drill. When an additional drill hole was made, the mean failure load in torsion decreased by 35.7%. We strongly recommend that an awl should not be used at the distal locking site of the Gamma nail; we recommend the use of a centre drill. Additional drill holes should be avoided because they act as stress raisers

Synthesis of Pyridinium Amphiphiles Used for Transfection and Some Characteristics of Amphiphile/DNA Complex Formation

Pyridinium amphiphiles have found practical use for the delivery of DNA into cells. Starting from 4-methylpyridine, a general synthesis has been devised for the production of pyridinium amphiphiles which allows variation in both the hydrophobic part and in the headgroup area of the compounds. By means of differential scanning microcalorimetry, zeta potential, particle size measurements and cryo electron microscopy, some characteristics of the pyridinium amphiphile/ DNA complexes have been determined.

The Power of Proofs: New Algorithms for Timed Automata Model Checking (with Appendix)

This paper presents the first model-checking algorithm for an expressive modal mu-calculus over timed automata, $L^{\mathit{rel}, \mathit{af}}_{\nu,\mu}$, and reports performance results for an implementation. This mu-calculus contains extended time-modality operators and can express all of TCTL. Our algorithmic approach uses an "on-the-fly" strategy based on proof search as a means of ensuring high performance for both positive and negative answers to model-checking questions. In particular, a set of proof rules for solving model-checking problems are given and proved sound and complete; we encode our algorithm in these proof rules and model-check a property by constructing a proof (or showing none exists) using these rules. One noteworthy aspect of our technique is that we show that verification performance can be improved with \emph{derived rules}, whose correctness can be inferred from the more primitive rules on which they are based. In this paper, we give the basic proof rules underlying our method, describe derived proof rules to improve performance, and compare our implementation of this model checker to the UPPAAL tool.Comment: This is the preprint of the FORMATS 2014 paper, but this is the full version, containing the Appendix. The final publication is published from Springer, and is available at http://link.springer.com/chapter/10.1007%2F978-3-319-10512-3_9 on the Springer webpag

On the relation between tidal and forced spirometry

Spirometry is a lung function test involving deep inhalation and forceful deep exhalation. It is widely used to obtain objective information about airflow limitation and to diagnose lung diseases. In contrast, tidal spirometry is based on normal breathing and therefore much more convenient, but it is hardly used in medical care and its relation with conventional (forced) spirometry is largely unknown. Therefore, the objective of this work is to reveal the relation between tidal and forced spirometry. Employing the strong correspondence between the forced flow-volume curves and the Tiffeneau-Pinelli (TP) index, we present a method to obtain (a) the expected tidal flow-volume curve for a given TP-index, and (b) the expected TP-index for a given tidal curve. For patients with similar values of the TP-index, the tidal curves show a larger spread than the forced curves, but their average shape varies in a characteristic way with varying index. Therefore, just as with forced curves, the TP-index provides a useful objective ranking of the average of tidal curves: upon decreasing TP-index the expiratory flow rate changes in that its peak shifts towards smaller expiratory volumes, and its post-peak part becomes dented.</p

The Origin of Galactic Cosmic Rays

Motivated by recent measurements of the major components of the cosmic radiation around 10 TeV/nucleon and above, we discuss the phenomenology of a model in which there are two distinct kinds of cosmic ray accelerators in the galaxy. Comparison of the spectra of hydrogen and helium up to 100 TeV per nucleon suggests that these two elements do not have the same spectrum of magnetic rigidity over this entire region and that these two dominant elements therefore receive contributions from different sources.Comment: To be published in Physical Review D, 13 pages, with 3 figures, uuencode