Reentrant transitions in colloidal or dusty plasma bilayers

The phase diagram of crystalline bilayers of particles interacting via a Yukawa potential is calculated for arbitrary screening lengths and particle densities. Staggered rectangular, square, rhombic and triangular structures are found to be stable including a first-order transition between two different rhombic structures. For varied screening length at fixed density, one of these rhombic phases exhibits both a single and even a double reentrant transition. Our predictions can be verified experimentally in strongly confined charged colloidal suspensions or dusty plasma bilayers.Comment: 4 pages, 3 eps figs - revtex4. PRL - in pres

Factors that influence muscle shear modulus during passive stretch

Although elastography has been increasingly used for evaluating muscle shear modulus associated with age, sex, musculoskeletal, and neurological conditions, its physiological meaning is largely unknown. This knowledge gap may hinder data interpretation, limiting the potential of using elastography to gain insights into muscle biomechanics in health and disease. We derived a mathematical model from a widely-accepted Hill-type passive force–length relationship to gain insight about the physiological meaning of resting shear modulus of skeletal muscles under passive stretching, and validated the model by comparing against the ex-vivo animal data reported in our recent work (Koo et al. 2013). The model suggested that resting shear modulus of a slack muscle is a function of specific tension and parameters that govern the normalized passive muscle force–length relationship as well as the degree of muscle anisotropy. The model also suggested that although the slope of the linear shear modulus–passive force relationship is primarily related to muscle anatomical cross-sectional area (i.e. the smaller the muscle cross-sectional area, the more the increase in shear modulus to result in the same passive muscle force), it is also governed by the normalized passive muscle force–length relationship and the degree of muscle anisotropy. Taken together, although muscle shear modulus under passive stretching has a strong linear relationship with passive muscle force, its actual value appears to be affected by muscle’s mechanical, material, and architectural properties. This should be taken into consideration when interpreting the muscle shear modulus values

Operation characteristics of piezoelectric quartz tuning forks in high magnetic fields at liquid helium temperatures

Piezoelectric quartz tuning forks are investigated in view of their use as force sensors in dynamic mode scanning probe microscopy at temperatures down to 1.5 K and in magnetic fields up to 8 T. The mechanical properties of the forks are extracted from the frequency dependent admittance and simultaneous interferometric measurements. The performance of the forks in a cryogenic environment is investigated. Force-distance studies performed with these sensors at low temperatures are presented

Anisotropic Etching of Graphite and Graphene in a Remote Hydrogen Plasma

We investigate the etching of a pure hydrogen plasma on graphite samples and graphene flakes on SiO$_2$ and hexagonal Boron-Nitride (hBN) substrates. The pressure and distance dependence of the graphite exposure experiments reveals the existence of two distinct plasma regimes: the direct and the remote plasma regime. Graphite surfaces exposed directly to the hydrogen plasma exhibit numerous etch pits of various size and depth, indicating continuous defect creation throughout the etching process. In contrast, anisotropic etching forming regular and symmetric hexagons starting only from preexisting defects and edges is seen in the remote plasma regime, where the sample is located downstream, outside of the glowing plasma. This regime is possible in a narrow window of parameters where essentially all ions have already recombined, yet a flux of H-radicals performing anisotropic etching is still present. At the required process pressures, the radicals can recombine only on surfaces, not in the gas itself. Thus, the tube material needs to exhibit a sufficiently low H radical recombination coefficient, such a found for quartz or pyrex. In the remote regime, we investigate the etching of single layer and bilayer graphene on SiO$_2$ and hBN substrates. We find isotropic etching for single layer graphene on SiO$_2$, whereas we observe highly anisotropic etching for graphene on a hBN substrate. For bilayer graphene, anisotropic etching is observed on both substrates. Finally, we demonstrate the use of artificial defects to create well defined graphene nanostructures with clean crystallographic edges.Comment: 7 pages, 4 color figure

Individualising drug dispensaries in a university hospital

BACKGROUND: In hospitals and other healthcare institutions drugs are routinely stored in designated satellite areas on the wards. Often ad hoc decisions are made by clinicians and nurses regarding drug type and quantity to be stored. As a result the number of different drugs and drug packages in storage tends to increase, which may lead to inefficient drug handling and become a potential risk factor in the medication control process. Based on an extended analysis of drug inventories on three different wards it was hypothesized that a ward-individualised formulary (WIF) can halve the number of different drugs and drug packages in a drug dispensary and hence reduce bound capital, money lost through expired drugs, and facilitate safer drug handling. The interdisciplinary intervention described here took place on three 40-bed wards in a 700-bed university hospital housing patients in general internal medicine, haematology, nephrology and oncology. METHODS: A WIF was defined by including all drugs from the hospital formulary ordered at least three times in the past six months. A pharmacist, a nurse and a clinician reviewed the inclusion list of drugs and clinicians were strongly encouraged to prescribe drugs primarily from the WIF. Drugs excluded from the WIF were removed from the drug dispensaries and the number of included drug packages stored in the remote dispensaries was reduced according to their order history. Drug inventory on the wards was monitored from February 2004 to April 2006. RESULTS: The initial drug dispensary inventories on wards A, B and C consisted of 2031, 1667 and 1536 packages with 943, 897 and 831 different drugs valued at h 83 931, h 44 590 and h 57 285. respectively. After adjusting the drug dispensaries according to the WIF drug dispensary inventories on wards A, B and C consisted of 808 (-60%), 600 (-64%) and 485 (-68%) packages with 415 (-56%), 334 (-63%) and 376 (-55%) different drugs valued euro 28 012 (-67%), euro 10 381 (-77%) an euro 17 898 (-69%). The overall reductions the number of packages, the different drugs and the drug value were comparable (<50%) and remained low during the entire observation time (A: 18 months, B: 13 months, C: 8 months). CONCLUSION: Rearranging dispensaries by individualizing the drug inventory according to the needs of the ward by introducing a WIF is a valuable means to significantly (<50%) reduce [1] the number of drug packages, [2] the number of different drugs stored and [3] the capital bound drugs. The positive effects of the WIF are supported by the interdisciplinary interaction of the different professional groups involved in the medication process. The leaner drug dispensaries offer optimal basic conditions for introducing new IT-based systems to further increase the safety of the medication process

SPECT/CT in der Handgelenkdiagnostik

Zusammenfassung: Klinisches/methodisches Problem: Handgelenkschmerzen sind eine diagnostische Herausforderung für Handchirurgen und Radiologen. Insbesondere chronische Handgelenkschmerzen sind oft nur schwer einer genauen Lokalisation zuzuordnen, eine Schnittbildgebung ist deshalb oft unerlässlich. Radiologische Standardverfahren: Der etablierte Standard zur nichtinvasiven Diagnostik chronischer Handgelenkschmerzen ist die Magnetresonanztomographie. Methodische Innovationen: In den letzten Jahren ist mit der "single photon emission computed tomography"/CT (SPECT/CT) eine neue Modalität zum diagnostischen Spektrum muskuloskelettaler Veränderungen hinzugetreten, welche neben morphologischen Daten auch metabolische Informationen liefert. Leistungsfähigkeit: Die SPECT/CT ermöglicht eine genaue Detektion und präzise anatomische Zuordnung unterschiedlicher Handgelenkpathologien. Dies ist oftmals entscheidend für eine korrekte Therapie. Bewertung: Die SPECT/CT ist bei Patienten mit chronischen Handgelenkschmerzen spezifischer als die MRT. Sie bietet außerdem Vorteile bei Patienten mit posttraumatischen Veränderungen oder Metallimplantaten und kann als problemlösende Methode bei unklaren Fällen eingesetzt werden. Empfehlung für die Praxis: Eine Anwendung der SPECT/CT erscheint aus unserer Sicht immer dann sinnvoll, wenn eine Abklärung mittels MRT unergiebig war bzw. das MRT mehrere Pathologien zeigt, bei denen nicht klar ist, welche die klinisch führende ist. Auch ein primärer Einsatz bei bestimmten ossären Pathologien, bei Patienten mit Metallimplantaten oder bei unklaren Handgelenkschmerzen erscheint gerechtfertig

Microbial contributions to coupled arsenic and sulfur cycling in the acid-sulfide hot spring Champagne Pool, New Zealand

Acid-sulfide hot springs are analogs of early Earth geothermal systems where microbial metal(loid) resistance likely first evolved. Arsenic is a metalloid enriched in the acid-sulfide hot spring Champagne Pool (Waiotapu, New Zealand). Arsenic speciation in Champagne Pool follows reaction paths not yet fully understood with respect to biotic contributions and coupling to biogeochemical sulfur cycling. Here we present quantitative arsenic speciation from Champagne Pool, finding arsenite dominant in the pool, rim and outflow channel (55-75% total arsenic), and dithio- and trithioarsenates ubiquitously present as 18-25% total arsenic. In the outflow channel, dimethylmonothioarsenate comprised ≤9% total arsenic, while on the outflow terrace thioarsenates were present at 55% total arsenic. We also quantified sulfide, thiosulfate, sulfate and elemental sulfur, finding sulfide and sulfate as major species in the pool and outflow terrace, respectively. Elemental sulfur concentration reached a maximum at the terrace. Phylogenetic analysis of 16S rRNA genes from metagenomic sequencing revealed the dominance of Sulfurihydrogenibium at all sites and an increased archaeal population at the rim and outflow channel. Several phylotypes were found closely related to known sulfur- and sulfide-oxidizers, as well as sulfur- and sulfate-reducers. Bioinformatic analysis revealed genes underpinning sulfur redox transformations, consistent with sulfur speciation data, and illustrating a microbial role in sulfur-dependent transformation of arsenite to thioarsenate. Metagenomic analysis also revealed genes encoding for arsenate reductase at all sites, reflecting the ubiquity of thioarsenate and a need for microbial arsenate resistance despite anoxic conditions. Absence of the arsenite oxidase gene, aio, at all sites suggests prioritization of arsenite detoxification over coupling to energy conservation. Finally, detection of methyl arsenic in the outflow channel, in conjunction with increased sequences from Aquificaceae, supports a role for methyltransferase in thermophilic arsenic resistance. Our study highlights microbial contributions to coupled arsenic and sulfur cycling at Champagne Pool, with implications for understanding the evolution of microbial arsenic resistance in sulfidic geothermal systems

A new medication-based prediction score for postoperative delirium in surgical patients: development and proof of feasibility in a retrospective patient cohort

Structured risk screening for postoperative delirium (POD) considering prehospital medication is not established. We aimed to develop a POD-risk prediction score based on known risk factors and delirium-risk increasing drugs to be used by pharmacists during medication reconciliation at hospital admission, and to test for feasibility in a retrospective cohort of surgical patients. Therefore, established POD-risk factors and drugs were extracted from the literature and a score was generated. Following this, the score was tested for feasibility in a retrospective 3-month-cohort of surgical patients. For patients with higher scores suggesting higher probability of POD, patient charts were screened for documentation of POD. For development of the score, the following POD-risk factors were defined and points assigned for score calculation: age (≥65 years=1 point/≥75 years=2), male sex (1), renal insufficiency (RI; 1), hepatic impairment (HI; Model-of-endstage-liver-disease (MELD) 10-14=1/≥15=2), delirium-risk increasing drugs (1 point per drug class), anticholinergic drug burden (ACB; ≥3=1). In the retrospective test cohort of 1174 surgical patients these factors concerned: age ≥65 years 567 patients (48%)/≥75 years 303 (26%), male 652 (55%), RI 238 (20%), MELD 10-14 106 (9%)/≥15 65 (5%), ≥ 1 delirium-risk increasing drug 418 (36%), ACB ≥3 106 (9%). The median POD-risk prediction score was 2 (range 0-9). Of 146 patients (12%) with a score ≥ 5, POD was documented for 43 (30%), no evidence for POD for 91 (62%) and data inconclusive for 12 (8%). For scores of ≥ 7, POD was documented for 50% of the patients with sufficient POD documentation. Overall, POD documentation was poor. To summarize, we developed and successfully tested the feasibility of a POD-prediction-score assessable by pharmacists at medication reconciliation at hospital admission

Phenyl-triazine oligomers for light-driven hydrogen evolution

The design of stable, yet highly tunable organic photocatalysts which orchestrate multi-step electron transfer reactions is at the heart of the newly emerging field of polymer photocatalysis. Covalent triazine frameworks such as the archetypal CTF-1 have been theorized to constitute a new class of photocatalytically active polymers for light-driven water splitting. Here, we revisit the ionothermal synthesis of CTF-1 by trimerization of 1,4-dicyanobenzene catalyzed by the Lewis acid zinc chloride and demonstrate that the microporous black polymer CTF-1 is essentially inactive for hydrogen evolution. Instead, highly photoactive phenyl-triazine oligomers (PTOs) with higher crystallinity as compared to CTF-1 are obtained by lowering the reaction temperature to 300 °C and prolonging the reaction time to >150 hours. The low reaction temperature of the PTOs largely prevents incipient carbonization and thus results in a carbon-to-nitrogen weight ratio close to the theoretical value of 3.43. The oligomers were characterized by MALDI-TOF and quantitative solid-state NMR spectroscopy, revealing variations in size, connectivity and thus nitrile-to-triazine ratios depending on the initial precursor dilution. The most active PTO samples efficiently and stably reduce water to hydrogen with an average rate of 1076 (±278) μmol h−1 g−1 under simulated sunlight illumination, which is competitive with the best carbon nitride-based and purely organic photocatalysts. The photocatalytic activity of the PTOs is found to sensitively depend on the polymerization degree, thus suggesting a prominent role of the unreacted nitrile moieties in the photocatalytic process. Notably, PTOs even show moderate hydrogen production without the addition of any co-catalyst