814 research outputs found
The Drink of a Thousand Kisses: Coffeehouse Culture in 16th Century England
The purpose of this paper is to understand the history of coffeehouses in Early Modern England and how they affected the public sphere. Coffeehouses changed the way English citizens did business, socialized, and engaged in politics. At different points, coffee was opposed by different social orders, women, and even Charles II himself. The tiniest thing became one of the most controversial items of the 16th century
Prescription and Other Medication Use in Pregnancy
OBJECTIVE:
To characterize prescription and other medication use in a geographically and ethnically diverse cohort of women in their first pregnancy.
METHODS:
In a prospective, longitudinal cohort study of nulliparous women followed through pregnancy from the first trimester, medication use was chronicled longitudinally throughout pregnancy. Structured questions and aids were used to capture all medications taken as well as reasons they were taken. Total counts of all medications taken including number in each category and class were captured. Additionally, reasons the medications were taken were recorded. Trends in medications taken across pregnancy and in the first trimester were determined.
RESULTS:
Of the 9,546 study participants, 9,272 (97.1%) women took at least one medication during pregnancy with 9,139 (95.7%) taking a medication in the first trimester. Polypharmacy, defined as taking at least five medications, occurred in 2,915 (30.5%) women. Excluding vitamins, supplements, and vaccines, 73.4% of women took a medication during pregnancy with 55.1% taking one in the first trimester. The categories of drugs taken in pregnancy and in the first trimester include the following: gastrointestinal or antiemetic agents (34.3%, 19.5%), antibiotics (25.5%, 12.6%), and analgesics (23.7%, 15.6%, which includes 3.6%; 1.4% taking an opioid pain medication).
CONCLUSION:
In this geographically and ethnically diverse cohort of nulliparous pregnant women, medication use was nearly universal and polypharmacy was common
Achieving Microparticles with Cell-Instructive Surface Chemistry by Using Tunable Co-Polymer Surfactants
© 2020 The Authors. Published by WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim A flow-focusing microfluidic device is used to produce functionalized monodisperse polymer particles with surface chemistries designed to control bacterial biofilm formation. This is achieved by using molecularly designed bespoke surfactants synthesized via catalytic chain transfer polymerization. This novel approach of using polymeric surfactants, often called surfmers, containing a biofunctional moiety contrasts with the more commonly employed emulsion methods. Typically, the surface chemistry of microparticles are dominated by unwanted surfactants that dilute/mask the desired surface response. Time of flight secondary ion mass spectrometry (ToF-SIMS) analysis of particles demonstrates that the comb-graft surfactant is located on the particle surface. Biofilm experiments show how specifically engineered surface chemistries, generated by the surfactants, successfully modulate bacterial attachment to both polymer films, and microparticles. Thus, this paper outlines how the use of designed polymeric surfactants and droplet microfluidics can exert control over both the surface chemistry and size distribution of microparticle materials, demonstrating their critical importance for controlling surface-cell response
Eccentric, nonspinning, inspiral, Gaussian-process merger approximant for the detection and characterization of eccentric binary black hole mergers
We present , a time domain, inspiral-merger-ringdown
waveform model that describes non-spinning binary black holes systems that
evolve on moderately eccentric orbits. The inspiral evolution is described
using a consistent combination of post-Newtonian theory, self-force and black
hole perturbation theory. Assuming eccentric binaries that circularize prior to
coalescence, we smoothly match the eccentric inspiral with a stand-alone,
quasi-circular merger, which is constructed using machine learning algorithms
that are trained with quasi-circular numerical relativity waveforms. We show
that reproduces with excellent accuracy the dynamics of
quasi-circular compact binaries. We validate using a set of
eccentric numerical relativity waveforms, which
describe eccentric binary black hole mergers with mass-ratios between , and eccentricities ten orbits before merger. We
use this model to explore in detail the physics that can be extracted with
moderately eccentric, non-spinning binary black hole mergers. We use
to show that GW150914, GW151226, GW170104, GW170814 and
GW170608 can be effectively recovered with spinning, quasi-circular templates
if the eccentricity of these events at a gravitational wave frequency of 10Hz
satisfies , respectively.
We show that if these systems have eccentricities at a
gravitational wave frequency of 10Hz, they can be misclassified as
quasi-circular binaries due to parameter space degeneracies between
eccentricity and spin corrections. Using our catalog of eccentric numerical
relativity simulations, we discuss the importance of including higher-order
waveform multipoles in gravitational wave searches of eccentric binary black
hole mergers.Comment: 19 pages, 10 figures, 1 Appendix. v2: we use numerical relativity
simulations to quantify the importance of including higher-order waveform
multipoles for the detection of eccentric binary black hole mergers,
references added. Accepted to Phys. Rev.
Kepler Mission Stellar and Instrument Noise Properties
Kepler Mission results are rapidly contributing to fundamentally new
discoveries in both the exoplanet and asteroseismology fields. The data
returned from Kepler are unique in terms of the number of stars observed,
precision of photometry for time series observations, and the temporal extent
of high duty cycle observations. As the first mission to provide extensive time
series measurements on thousands of stars over months to years at a level
hitherto possible only for the Sun, the results from Kepler will vastly
increase our knowledge of stellar variability for quiet solar-type stars. Here
we report on the stellar noise inferred on the timescale of a few hours of most
interest for detection of exoplanets via transits. By design the data from
moderately bright Kepler stars are expected to have roughly comparable levels
of noise intrinsic to the stars and arising from a combination of fundamental
limitations such as Poisson statistics and any instrument noise. The noise
levels attained by Kepler on-orbit exceed by some 50% the target levels for
solar-type, quiet stars. We provide a decomposition of observed noise for an
ensemble of 12th magnitude stars arising from fundamental terms (Poisson and
readout noise), added noise due to the instrument and that intrinsic to the
stars. The largest factor in the modestly higher than anticipated noise follows
from intrinsic stellar noise. We show that using stellar parameters from
galactic stellar synthesis models, and projections to stellar rotation,
activity and hence noise levels reproduces the primary intrinsic stellar noise
features.Comment: Accepted by ApJ; 26 pages, 20 figure
Kepler-16: A Transiting Circumbinary Planet
We report the detection of a planet whose orbit surrounds a pair of low-mass
stars. Data from the Kepler spacecraft reveal transits of the planet across
both stars, in addition to the mutual eclipses of the stars, giving precise
constraints on the absolute dimensions of all three bodies. The planet is
comparable to Saturn in mass and size, and is on a nearly circular 229-day
orbit around its two parent stars. The eclipsing stars are 20% and 69% as
massive as the sun, and have an eccentric 41-day orbit. The motions of all
three bodies are confined to within 0.5 degree of a single plane, suggesting
that the planet formed within a circumbinary disk.Comment: Science, in press; for supplemental material see
http://www.sciencemag.org/content/suppl/2011/09/14/333.6049.1602.DC1/1210923.Doyle.SOM.pd
The Impact of the COVID-19 Pandemic on Racial Disparities in Patients Undergoing Total Shoulder Arthroplasty in the United States
INTRODUCTION: The purpose of this study was to assess racial disparities in total shoulder arthroplasty (TSA) in the US and to determine whether these disparities were affected by the COVID-19 pandemic.
METHODS: Centers for Medicare and Medicaid Services (CMS) 100% sample was used to examine primary TSA volume from April-December from 2019-2020. Utilization was assessed for White/Black/Hispanic/Asian populations to determine if COVID-19 affected these groups differently. A regression model adjusted for age/sex/CMS-Hierarchical Condition Categories (HCC) score, dual enrollment (proxy for socioeconomic status), time fixed effects, and Core-based Statistical Area (CBSA) fixed effects was used to study difference across groups.
RESULTS: In 2019, TSA volume/1000 beneficiaries was 1.51 for White and 0.57 for non-White, a 2.6-fold difference. In 2020, the rate of TSA in White patients (1.30/1000) was 2.9 times higher than non-White (0.45/1000) during the COVID-19 pandemic (P\u3c0.01). There was an overall 14% decrease in TSA volume/1000 Medicare beneficiaries in 2020; non-White patients had a larger percentage decrease in TSA volume than White (21% vs. 14%, estimated difference;8.7%,p = 0.02). Black patients experienced the most pronounced disparity with estimated difference of 10.1%,p = 0.05, compared with White patients. Similar disparities were observed when categorizing procedures into anatomic and reverse TSA, but not proximal humerus fracture.
CONCLUSIONS: During the COVID-19 pandemic, overall TSA utilization decreased by 14% with White patients experiencing a decrease of 14%, and non-White patients experiencing a decrease of 21%. This trend was observed for elective TSA while disparities were less apparent for proximal humerus fracture
Association of Adverse Pregnancy Outcomes With Hypertension 2 to 7 Years Postpartum
Background Identifying pregnancy-associated risk factors before the development of major cardiovascular disease events could provide opportunities for prevention. The objective of this study was to determine the association between outcomes in first pregnancies and subsequent cardiovascular health. Methods and Results The Nulliparous Pregnancy Outcomes Study Monitoring Mothers-to-be Heart Health Study is a prospective observational cohort that followed 4484 women 2 to 7 years (mean 3.2 years) after their first pregnancy. Adverse pregnancy outcomes (defined as hypertensive disorders of pregnancy, small-for-gestational-age birth, preterm birth, and stillbirth) were identified prospectively in 1017 of the women (22.7%) during this pregnancy. The primary outcome was incident hypertension (HTN). Women without adverse pregnancy outcomes served as controls. Risk ratios (RR) and 95% CIs were adjusted for age, smoking, body mass index, insurance type, and race/ethnicity at enrollment during pregnancy. The overall incidence of HTN was 5.4% (95% CI 4.7% to 6.1%). Women with adverse pregnancy outcomes had higher adjusted risk of HTN at follow-up compared with controls (RR 2.4, 95% CI 1.8-3.1). The association held for individual adverse pregnancy outcomes: any hypertensive disorders of pregnancy (RR 2.7, 95% CI 2.0-3.6), preeclampsia (RR 2.8, 95% CI 2.0-4.0), and preterm birth (RR 2.7, 95% CI 1.9-3.8). Women who had an indicated preterm birth and hypertensive disorders of pregnancy had the highest risk of HTN (RR 4.3, 95% CI 2.7-6.7). Conclusions Several pregnancy complications in the first pregnancy are associated with development of HTN 2 to 7 years later. Preventive care for women should include a detailed pregnancy history to aid in counseling about HTN risk
The Astropy Problem
The Astropy Project (http://astropy.org) is, in its own words, "a community
effort to develop a single core package for Astronomy in Python and foster
interoperability between Python astronomy packages." For five years this
project has been managed, written, and operated as a grassroots,
self-organized, almost entirely volunteer effort while the software is used by
the majority of the astronomical community. Despite this, the project has
always been and remains to this day effectively unfunded. Further, contributors
receive little or no formal recognition for creating and supporting what is now
critical software. This paper explores the problem in detail, outlines possible
solutions to correct this, and presents a few suggestions on how to address the
sustainability of general purpose astronomical software
Collective Cell Migration Drives Morphogenesis of the Kidney Nephron
Tissue organization in epithelial organs is achieved during development by the combined processes of cell differentiation and morphogenetic cell movements. In the kidney, the nephron is the functional organ unit. Each nephron is an epithelial tubule that is subdivided into discrete segments with specific transport functions. Little is known about how nephron segments are defined or how segments acquire their distinctive morphology and cell shape. Using live, in vivo cell imaging of the forming zebrafish pronephric nephron, we found that the migration of fully differentiated epithelial cells accounts for both the final position of nephron segment boundaries and the characteristic convolution of the proximal tubule. Pronephric cells maintain adherens junctions and polarized apical brush border membranes while they migrate collectively. Individual tubule cells exhibit basal membrane protrusions in the direction of movement and appear to establish transient, phosphorylated Focal Adhesion Kinase–positive adhesions to the basement membrane. Cell migration continued in the presence of camptothecin, indicating that cell division does not drive migration. Lengthening of the nephron was, however, accompanied by an increase in tubule cell number, specifically in the most distal, ret1-positive nephron segment. The initiation of cell migration coincided with the onset of fluid flow in the pronephros. Complete blockade of pronephric fluid flow prevented cell migration and proximal nephron convolution. Selective blockade of proximal, filtration-driven fluid flow shifted the position of tubule convolution distally and revealed a role for cilia-driven fluid flow in persistent migration of distal nephron cells. We conclude that nephron morphogenesis is driven by fluid flow–dependent, collective epithelial cell migration within the confines of the tubule basement membrane. Our results establish intimate links between nephron function, fluid flow, and morphogenesis
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