The Anisotropic Bak-Sneppen model

The Bak-Sneppen model is shown to fall into a different universality class with the introduction of a preferred direction, mirroring the situation in spin systems. This is first demonstrated by numerical simulations and subsequently confirmed by analysis of the multitrait version of the model, which admits exact solutions in the extremes of zero and maximal anisotropy. For intermediate anisotropies, we show that the spatiotemporal evolution of the avalanche has a power law `tail' which passes through the system for any non-zero anisotropy but remains fixed for the isotropic case, thus explaining the crossover in behaviour. Finally, we identify the maximally anisotropic model which is more tractable and yet more generally applicable than the isotropic system

Deformation of crosslinked semiflexible polymer networks

Networks of filamentous proteins play a crucial role in cell mechanics. These cytoskeletal networks, together with various crosslinking and other associated proteins largely determine the (visco)elastic response of cells. In this letter we study a model system of crosslinked, stiff filaments in order to explore the connection between the microstructure under strain and the macroscopic response of cytoskeletal networks. We find two distinct regimes as a function primarily of crosslink density and filament rigidity: one characterized by affine deformation and one by non-affine deformation. We characterize the crossover between these two.Comment: Typos fixed and some technical details clarified. To appear in Phys. Rev. Let

Telehealth in Palliative Care: A Systematic Review of Patient Reported Outcomes

A systematic review was conducted to explore published quantitative and qualitative research describing patient-reported outcomes of palliative telehealth intervention studies. Multiple databases were searched for articles published between January 2006 and May 2016, which met study criteria. Methodological quality was assessed using Cochrane Collaboration’s tool for assessing risk of bias for quantitative articles. For studies reporting qualitative outcomes, a checklist was used to evaluate trustworthiness of the methodology. Of the 6 studies reporting quantitative outcomes, 3 studies were rated as having moderate study quality, and 3 studies were rated as having low study quality. Of the 6 studies reporting qualitative outcomes, 3 reported 5 different methods for ensuring trustworthiness, whereas 1 article reported 4 methods, 1 reported 3, and 1 article reported 2 methods. Studies were notably diverse in terms of patient population, technology used, outcomes measures, and methodology. Results across studies were also variable. Methodological factors were major limitations. Recruitment problems, participant attrition, and lack of standardized outcomes measures impacted outcome assessment. Overall, research support for positive patient outcomes in palliative telehealth interventions was weak. However, all studies but one found positive results to support the intervention

A Systematic Review of Telehealth in Palliative Care: Caregiver Outcomes

Objective: Telehealth interventions have proven efficacy in healthcare, but little is known about the results of such interventions in palliative care. We conducted a systematic review to evaluate caregiver outcomes related to palliative telehealth interventions. Materials and Methods: We searched multiple databases for articles published between January 2003 and January 2015 related to telehealth in palliative care. Two hundred twenty-one articles were considered; nine of these met study inclusion criteria. Data on study design, population, interventions, methods, outcomes, conclusions, and methodological quality were extracted and evaluated by three investigators. Results: Of the nine studies, five measured caregiver quality of life, three measured caregiver anxiety, and two measured caregiver burden. All the studies measuring caregiver quality of life showed no significant difference after telehealth interventions. The caregiver anxiety score decreased after the intervention in two studies, and one study reported significantly reduced caregiver burden. Although feasibility of or caregiver satisfaction with the telehealth intervention was not the focus of this review, most studies reported such findings. Of the nine studies, the majority were rated as having moderate quality using the Cochrane Collaboration’s tool for assessing risk of bias. Conclusions: This systematic review suggests there is evidence of overall satisfaction in caregivers who undergo a telehealth intervention, but outcomes reported were often not substantial. Methodological flaws and small sample sizes negatively affected study quality. More rigorous research to test and evaluate such palliative interventions is needed

Microscopic basis for pattern formation and anomalous transport in two-dimensional active gels

Active gels are a class of biologically-relevant material containing embedded agents that spontaneously generate forces acting on a sparse filament network. In vitro experiments of protein filaments and molecular motors have revealed a range of non- equilibrium pattern formation resulting from motor motion along filament tracks, and there are a number of hydrodynamic models purporting to describe such systems. Here we present results of extensive simulations designed to elucidate the microscopic basis underpinning macroscopic flow in active gels. Our numerical scheme includes thermal fluctuations in filament positions, excluded volume interactions, and filament elasticity in the form of bending and stretching modes. Motors are represented individually as bipolar springs governed by rate-based rules for attachment, detachment and unidirectional motion of motor heads along the filament contour. We systematically vary motor density and speed, and uncover parameter regions corresponding to unusual statics and dynamics which overlap but do not coincide. The anomalous statics arise at high motor densities and take the form of end-bound localized filament bundles for rapid motors, and extended clusters exhibiting enhanced small-wavenumber density fluctuations and power-law cluster-size distributions for slow, processive motors. Anomalous dynamics arise for slow, processive motors over a range of motor densities, and are most evident as superdiffusive mass transport, which we argue is the consequence of a form of effective self-propulsion resulting from the polar coupling between motors and filaments.Comment: 14 pages, 17 figures. Minor clarifications and updated/additional references. To appear in Soft Matte

The validity of capillary blood sampling in the determination of human growth hormone concentration during exercise in men

This is an open access article - Copyright © 2004 BMJ Publishing Group LtdBACKGROUND: Studies measuring human growth hormone (hGH) in blood during exercise have mainly used venous sampling. The invasive nature of this procedure makes evaluation of hGH impossible in various exercise environments. OBJECTIVE: To determine whether capillary sampling could offer an alternative sampling method. METHODS: Capillary and venous blood samples were collected for determination of hGH at the end of each exercise stage during an incremental exercise test in 16 male club level competitive cyclists (mean (SD) age 30.8 (8.0) years, body mass 72.2 (7.1) kg, body fat 12.9 (3.5)%, peak oxygen consumption 4.18 (0.46) l⋅min−1). Linear regression, from a plot of venous v capillary blood hGH concentration, showed a correlation coefficient of r = 0.986 (p<0.001). When geometric means and log transformations were used, a coefficient of variation of 14.2% was demonstrated between venous and capillary flow for hGH concentration. The mean ratio limits of agreement were 0.62 (1.72)—that is, 95% of the ratios were contained between 0.36 and 1.07, with a mean of 0.62. CONCLUSIONS: Capillary blood sampling is an acceptable alternative to venous sampling for determining hGH concentration during rest and exercise. Sample sites should not be used interchangeably: one site should be chosen and its use standardised

Geology of Hadley Rille

The regional setting, external and internal shape, and materials of Hadley Rille near the Apollo 15 landing site are described. The petrography presented includes lithologies, regolith, talus, and outcrops. The stratigraphy exposed on the rille wall is also considered

Extremal driving as a mechanism for generating long-term memory

It is argued that systems whose elements are renewed according to an extremal criterion can generally be expected to exhibit long-term memory. This is verified for the minimal extremally driven model, which is first defined and then solved for all system sizes N\geq2 and times t\geq0, yielding exact expressions for the persistence R(t)=[1+t/(N-1)]^{-1} and the two-time correlation function C(t_{\rm w}+t,t_{\rm w})=(1-1/N)(N+t_{\rm w})/(N+t_{\rm w}+t-1). The existence of long-term memory is inferred from the scaling of C(t_{\rm w}+t,t_{\rm w})\sim f(t/t_{\rm w}), denoting {\em aging}. Finally, we suggest ways of investigating the robustness of this mechanism when competing processes are present.Comment: 5 pages, no figures; requires IOP style files. To appear as a J. Phys. A. lette

Energy Distribution in disordered elastic Networks

Disordered networks are found in many natural and artificial materials, from gels or cytoskeletal structures to metallic foams or bones. Here, the energy distribution in this type of networks is modeled, taking into account the orientation of the struts. A correlation between the orientation and the energy per unit volume is found and described as a function of the connectivity in the network and the relative bending stiffness of the struts. If one or both parameters have relatively large values, the struts aligned in the loading direction present the highest values of energy. On the contrary, if these have relatively small values, the highest values of energy can be reached in the struts oriented transversally. This result allows explaining in a simple way remodeling processes in biological materials, for example, the remodeling of trabecular bone and the reorganization in the cytoskeleton. Additionally, the correlation between the orientation, the affinity, and the bending-stretching ratio in the network is discussed

Volume-controlled buckling of thin elastic shells: Application to crusts formed on evaporating partially-wetted droplets

Motivated by the buckling of glassy crusts formed on evaporating droplets of polymer and colloid solutions, we numerically model the deformation and buckling of spherical elastic caps controlled by varying the volume between the shell and the substrate. This volume constraint mimics the incompressibility of the unevaporated solvent. Discontinuous buckling is found to occur for sufficiently thin and/or large contact angle shells, and robustly takes the form of a single circular region near the boundary that `snaps' to an inverted shape, in contrast to externally pressurised shells. Scaling theory for shallow shells is shown to well approximate the critical buckling volume, the subsequent enlargement of the inverted region and the contact line force.Comment: 7 pages in J. Phys. Cond. Mat. spec; 4 figs (2 low-quality to reach LANL's over-restrictive size limits; ask for high-detailed versions if required