46 research outputs found
Glass Transition Phenomena Semiannual Status Report
Multiple glass transitions, heat capacities, and equation of state properties of polymer system
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Modelling climate and societal resilience in the Eastern Mediterranean in the last Millennium
This article analyses high-quality hydroclimate proxy records and spatial reconstructions from the Central and Eastern Mediterranean and compares them with two Earth System Model simulations (CCSM4, MPI-ESM-P) for the Crusader period in the Levant (1095â1290 CE), the Mamluk regime in Transjordan (1260â1516 CE) and the Ottoman crisis and CelĂąlĂź Rebellion(1580â1610 CE). During the three time intervals, environmental and climatic stress tested the resilience of complex societies.We find that the multidecadal precipitation and drought variations in the Central and Eastern Mediterranean cannot be explained by external forcings (solar variations, tropical volcanism); rather they were driven by internal climate dynamics. Our research emphasises the challenges, opportunities and limitations of linking proxy records, palaeoreconstructions and model simulations to better understand how climate can affect human history
The army and the economy: The allocation and redistribution of surplus wealth in the Byzantine state
LâĂ©mergence dâune histoire environnementale interdisciplinaire. Une approche conjointe de lâHolocĂšne tardif
Lâhistoire, en tant que discipline, traverse une phase de transition. Dâune part, de nouveaux types dâindices (palynologiques, dendrologiques, glaciologiques, ostĂ©o- logiques, archĂ©ogĂ©nĂ©tiques, etc.) sont disponibles, mais beaucoup dâhistoriens demeurent rĂ©ticents Ă les utiliser, faute dâavoir Ă©tĂ© formĂ©s pour le faire. Dâautre part, la situation mondiale actuelle, particuliĂšrement critique, marquĂ©e par des changements climatiques et des perturbations Ă©cosystĂ©miques sans prĂ©cĂ©dent ainsi que par lâĂ©mergence (non sans lien avec ces dĂ©rĂšglements) de maladies hautement transmissibles, incite Ă se tourner vers le passĂ©, Ă la recherche de parallĂšles signi- fiants et de boussoles susceptibles de nous guider. Des professionnels dâautres disciplines â notamment de la mĂ©decine, des sciences de lâenvironnement et de lâĂ©conomie â se sont attelĂ©s Ă cette tĂąche en proposant au grand public des « leçons historiques ». Les historiens, quant Ă eux, participent encore trop peu souvent aux dĂ©bats sur les dĂ©fis du prĂ©sent et le futur de la planĂšte qui en dĂ©coule, alors mĂȘme que ceux-ci captivent lâopinion et contribuent effectivement Ă tracer les contours de notre avenir
The first Team Haemophilia Education meeting, 2015, Amsterdam, The Netherlands
Haemophilia remains a complex disorder to diagnose and manage, requiring close cooperation between multidisciplinary healthcare professionals. There are still many unmet challenges in haemophilia care. The first Team Haemophilia Education (THE) meeting, held on 7-8 May 2015 in Amsterdam, The Netherlands, aimed to promote the optimal care of haemophilia patients through education of the multidisciplinary treatment team. This was achieved by reviewing the latest developments in haemophilia management, considering how these can be implemented in the clinic to improve patient care and providing a platform for networking and debate for all haemophilia treatment team members. Haemophilia treatment centres from several countries were asked to complete a premeeting online questionnaire to establish the biggest challenges that they face when managing patients. The concerns expressed were used to develop the agenda, which comprised a combination of formal presentations, case studies and informal workshops covering such topics as pharmacokinetics, laboratory assays and tailoring of treatment to individual patients. This report is a summary of the key developments in haemophilia care presented by various investigators and healthcare professionals at THE meeting 2015
Differences between familial and sporadic dilated cardiomyopathy: ESC EORP Cardiomyopathy & Myocarditis registry
Aims: Dilated cardiomyopathy (DCM) is a complex disease where genetics interplay with extrinsic factors. This study aims to compare the phenotype, management, and outcome of familial DCM (FDCM) and non-familial (sporadic) DCM (SDCM) across Europe. Methods and results: Patients with DCM that were enrolled in the prospective ESC EORP Cardiomyopathy & Myocarditis Registry were included. Baseline characteristics, genetic testing, genetic yield, and outcome were analysed comparing FDCM and SDCM; 1260 adult patients were studied (238 FDCM, 707 SDCM, and 315 not disclosed). Patients with FDCM were younger (P\ua0<\ua00.01), had less severe disease phenotype at presentation (P\ua0<\ua00.02), more favourable baseline cardiovascular risk profiles (P\ua0 64\ua00.007), and less medication use (P\ua0 64\ua00.042). Outcome at 1\ua0year was similar and predicted by NYHA class (HR 0.45; 95% CI [0.25\u20130.81]) and LVEF per % decrease (HR 1.05; 95% CI [1.02\u20131.08]. Throughout Europe, patients with FDCM received more genetic testing (47% vs. 8%, P\ua0<\ua00.01) and had higher genetic yield (55% vs. 22%, P\ua0<\ua00.01). Conclusions: We observed that FDCM and SDCM have significant differences at baseline but similar short-term prognosis. Whether modification of associated cardiovascular risk factors provide opportunities for treatment remains to be investigated. Our results also show a prevalent role of genetics in FDCM and a non-marginal yield in SDCM although genetic testing is largely neglected in SDCM. Limited genetic testing and heterogeneity in panels provides a scaffold for improvement of guideline adherence