80 research outputs found

    A convenient design of growth tube

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    A convenient design of growth tub

    High-dose oral vitamin D supplementation and mortality in people aged 65-84 years: the VIDAL cluster feasibility RCT of open versus double-blind individual randomisation.

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    BACKGROUND: Randomised controlled trials demonstrating improved longevity are needed to justify high-dose vitamin D supplementation for older populations. OBJECTIVES: To demonstrate the feasibility of a large trial (n ≈ 20,000) of high-dose vitamin D in people aged 65-84 years through general practitioner (GP) practices, and to cluster randomise participating practices between open-label and double-blind randomisation to compare effects on recruitment, compliance and contamination. DESIGN: Twenty GP practices were randomised in matched pairs between open-label and double-blind allocation. Within each practice, patients were individually randomised to vitamin D or control (i.e. no treatment or placebo). Participants were invited to attend their GP practice to provide a blood sample and complete a lifestyle questionnaire at recruitment and again at 2 years. Randomisation by telephone followed receipt of a serum corrected calcium assay confirming eligibility ( 400 IU vitamin D per day at 2 years was 5.0% in open practices and 4.8% in double-blind practices. Mean serum 25(OH)D concentration was 51.5 nmol/l [95% confidence interval (CI) 50.2 to 52.8 nmol/l] with 82.6% of participants < 75 nmol/l at baseline. At 2 years, this increased to 109.6 nmol/l (95% CI 107.1 to 112.1 nmol/l) with 12.0% < 75 nmol/l in those allocated to vitamin D and was unaltered at 51.8 nmol/l (95% CI 49.8 to 53.8 nmol/l) in those allocated to no vitamin D (no treatment or placebo). CONCLUSIONS: A trial could recruit 20,000 participants aged 65-84 years through 200 GP practices over 2 years. Approximately 80% would be expected to adhere to allocated treatment (vitamin D or placebo) for 5 years. The trial could be conducted entirely by e-mail in participants aged < 80 years, but some participants aged 80-84 years would require postal follow-up. Recruitment and treatment compliance would be similar and contamination (self-administration of vitamin D) would be minimal, whether control participants are randomised openly to no treatment with no contact during the trial or randomised double-blind to placebo with monthly reminders. TRIAL REGISTRATION: Current Controlled Trials ISRCTN46328341 and EudraCT database 2011-003699-34. FUNDING: This project was funded by the National Institute for Health Research Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 24, No. 10. See the NIHR Journals Library website for further project information

    Temperature Control of Fimbriation Circuit Switch in Uropathogenic Escherichia coli: Quantitative Analysis via Automated Model Abstraction

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    Uropathogenic Escherichia coli (UPEC) represent the predominant cause of urinary tract infections (UTIs). A key UPEC molecular virulence mechanism is type 1 fimbriae, whose expression is controlled by the orientation of an invertible chromosomal DNA element—the fim switch. Temperature has been shown to act as a major regulator of fim switching behavior and is overall an important indicator as well as functional feature of many urologic diseases, including UPEC host-pathogen interaction dynamics. Given this panoptic physiological role of temperature during UTI progression and notable empirical challenges to its direct in vivo studies, in silico modeling of corresponding biochemical and biophysical mechanisms essential to UPEC pathogenicity may significantly aid our understanding of the underlying disease processes. However, rigorous computational analysis of biological systems, such as fim switch temperature control circuit, has hereto presented a notoriously demanding problem due to both the substantial complexity of the gene regulatory networks involved as well as their often characteristically discrete and stochastic dynamics. To address these issues, we have developed an approach that enables automated multiscale abstraction of biological system descriptions based on reaction kinetics. Implemented as a computational tool, this method has allowed us to efficiently analyze the modular organization and behavior of the E. coli fimbriation switch circuit at different temperature settings, thus facilitating new insights into this mode of UPEC molecular virulence regulation. In particular, our results suggest that, with respect to its role in shutting down fimbriae expression, the primary function of FimB recombinase may be to effect a controlled down-regulation (rather than increase) of the ON-to-OFF fim switching rate via temperature-dependent suppression of competing dynamics mediated by recombinase FimE. Our computational analysis further implies that this down-regulation mechanism could be particularly significant inside the host environment, thus potentially contributing further understanding toward the development of novel therapeutic approaches to UPEC-caused UTIs

    Utilising Reflective Practice Groups as pedagogy in ordination training and theological development

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    This is an Accepted Manuscript of an article published by Taylor & Francis in Practical Theology on 3-5-19, available online: https://doi.org/10.1080/1756073X.2019.1609254With the Church of England's ([2014. Formation Criteria with Mapped Selection Criteria for Ordained Ministry in the Church of England. https://www.churchofengland.org/media/2139103/formationcriteriaforordainedministryapprovedhofbpsdec2014.docx]) recent formation criteria now requiring ordinands to have a greater degree of reflexive capability, this article considers the pedagogy of Reflective Practice Groups in ordination training and focuses on how reflexivity can be developed in a group context, towards fostering greater spiritual formation, theological reflection, self-awareness, relational practices for pastoral encounter, resilience and self-care practices for ministry. Some ‘foci for reflexivity’ are advocated for use within Reflective Practice Groups in ordination training

    Structure and microwave dielectric properties of BaLa4Ti4O15

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    BaLa4Ti4O15 (BLT) is a compound with a Ti-deficient, layered perovskite-related structure. Dense BLT ceramics have been produced and their crystal structures and microstructures are investigated. The average macroscopic structure of BLT powder is considered to be hexagonal with space group , but there is some evidence in high-order x-ray diffraction peaks of asymmetry. Energy-dispersive x-ray analysis and Raman spectroscopy have illustrated that there is a heterogeneous distribution of constituent cations which may induce asymmetry as a result of the presence of two hexagonal phases of slightly different lattice parameter. Despite this inhomogeneity, BLT exhibits a microwave quality factor (Qf) of ~44 000 GHz, a relative permittivity (εr) of ~45, and a temperature coefficient of resonant frequency (τf) of −2 ppm °C−1. In addition, anisotropy in the properties of the ceramic has been observed, with εr found to be larger when measured normal to the pressing direction

    Novel conventional and modular LSF wall panels with improved fire performance

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    Fire performance of Light-gauge Steel Frame (LSF) constructions is being extensively investigated recently, due to the critical behaviour of cold-formed steel structures at elevated temperatures. Among the many design parameters involved with LSF constructions, the effect of cavity insulation inside LSF walls at different ratios on the Fire Resistance Level (FRL) has not been addressed yet. Hence, Finite Element Models (FEMs) were developed for the LSF walls to simulate the full-scale fire tests conducted applying the standard fire temperatures, where the Finite Element Analyses (FEA) results were very well agreeing with the experimental results. Thereafter, the validated FEMs were extended to study the fire performance of the conventional and modular LSF wall systems with different cavity insulation ratios, where 0.4 cavity insulation ratio was found to be most efficient when structural FRL is of concern while producing satisfactory energy performance at reduced material costs. To calculate the structural FRLs of conventional and modular, single and double plasterboard layers sheathed LSF walls, 4 empirical models have been proposed where more than 97% accuracy was achieved. Moreover, incorporating back blocking panels and discontinuous insulation options, several novel conventional and modular LSF walls have been proposed with up-to 70% improvement in structural FRL
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