3,238 research outputs found
In-flight friction and wear mechanism
A unique mechanism developed for conducting friction and wear experiments in orbit is described. The device is capable of testing twelve material samples simultaneously. Parameters considered critical include: power, weight, volume, mounting, cleanliness, and thermal designs. The device performed flawlessly in orbit over an eighteen month period and demonstrated the usefulness of this design for future unmanned spacecraft or shuttle applications
Complex permeability of soft magnetic ferrite polyester resin composites at frequencies above 1 MHz
Composite soft magnetic materials consist of magnetic particles in a non-magnetic matrix. The properties of such materials can be modelled using effective medium theory. Measurements have been made of the complex permeability of composites produced using ferrite powder and polyester resin. The success of various effective medium expressions in predicting the variation of complex permeability with composition has been assessed
Physical outcome measure for critical care patients following intensive care discharge
Introduction: The aim of this study was to evaluate the most suitable
physical outcome measures to be used with critical care patients following
discharge. ICU survivors experience physical problems
such as reduced exercise capacity and intensive care acquired
weakness. NICE guideline ‘Rehabilitation after critical illness’ (1) recommends
the use of outcome measures however does not provide
any specific guidance. A recent Cochrane review noted wide variability
in measures used following ICU discharge (2).
Methods: Discharged ICU patients attended a five week multidisciplinary
programme. Patients’ physical function was assessed during
the programme, at 6 months and 12 months post discharge. Three
outcome measures were included in the initial two cohorts. The Six
Minute Walk Test (6MWT) and the Incremental Shuttle Walk test
(ISWT) were chosen as they have been used within the critical care
follow up setting (2). The Chester Step Test (CST) is widely thought
to be a good indicator of ability to return to work (one of the programmes
primary aims). Ethics approval was waived as the
programme was part of a quality improvement initiative.
Results: Data was collected for the initial patients attending the
programme (n = 13), median age was 52 (IQR = 38-72), median ICU
LOS was 19 days (IQR = 4-91), median APACHE II was 23 (IQR = 19-41)
and 11 were men. One patient was so physically debilitated that the
CST or ISWT could not be completed however a score was achieved
using the 6MWT. Another patient almost failed to achieve level 1 of
the ISWT. Subsequent patients for this project (total n = 47) have all
therefore been tested using the 6MWT. Good inter-rater and intrarater
reliability and validity have been reported for the 6MWT (3).
Conclusions: Exercise capacity measurement is not achievable for
some patients with either the ISWT or the CST due to the severity of
their physical debilitation. Anxiety, post-traumatic stress disorder and
depression are common psychological problems post discharge (4),
therefore using a test with a bleep is not appropriate. Therefore, the 6MWT is the most appropriate physical outcome measure to be used
with critical care patients post discharge
Classification of pain and its treatment at an intensive care rehabilitation clinic
Introduction
Treatment in an Intensive Care Unit (ICU) often necessitates uncomfortable
and painful procedures for patients throughout their admission.
There is growing evidence to suggest that chronic pain is
becoming increasingly recognised as a long term problem for patients
following an ICU admission [1]. Intensive Care Syndrome: Promoting
Independence and Return to Employment (InS:PIRE) is a five
week rehabilitation programme for patients and their caregivers after
ICU discharge at Glasgow Royal Infirmary. This study investigated the
incidence and location of chronic pain in patients discharged from ICU
and classified the analgesics prescribed according to the World Health
Organization analgesic
Methods
The InS:PIRE programme involved individual sessions for patients and
their caregivers with a physiotherapist and a pharmacist along with
interventions from medical, nursing, psychology and community services.
The physiotherapist documented the incidence and pain location
during the assessment. The pharmacist recorded all analgesic medications
prescribed prior to admission and at their clinic visit. The patient’s
analgesic medication was classified according to the WHO pain ladder
from zero to three, zero being no pain medication and three being
treatment with a strong opioid. Data collected was part of an evaluation
of a quality improvement initiative, therefore ethics approval was
waived.
Results
Data was collected from 47 of the 48 patients who attended the rehabilitation
clinic (median age was 52 (IQR, 44-57) median ICU LOS
was 15 (IQR 9-25), median APACHE II was 23 (IQR 18-27) and 32 of
the patients were men (67 %)). Prior to admission to ICU 43 % of patients
were taking analgesics and this increased to 81 % at the time
of their clinic visit. The number of patients at step two and above on
the WHO pain ladder also increased from 34 % to 56 %.
Conclusions
Of the patients seen at the InS:PIRE clinic two-thirds stated that they
had new pain since their ICU admission. Despite the increase in the
number and strength of analgesics prescribed, almost a quarter of
patients still complained of pain at their clinic visit. These results confirm
that pain continues to be a significant problem in this patient
group. Raising awareness in primary care of the incidence of chronic
pain and improving its management is essential to the recovery
process following an ICU admission
Pharmacy intervention at an intensive care rehabilitation clinic
Introduction: During an intensive care stay, patients often have their
chronic medications withheld for a variety of reasons and new drugs
commenced [1]. As patients are often under the care of a number of
different medical teams during their admission there is potential for
these changes to be inadvertently continued [2]. Intensive Care Syndrome:
Promoting Independence and Return to Employment (InS:PIRE)
is a five week rehabilitation programme for patients and their
caregivers after ICU (Intensive Care Unit) discharge at Glasgow Royal
Infirmary. Within this programme a medication review by the critical
care pharmacist provided an opportunity to identify and resolve any
pharmaceutical care issues and also an opportunity to educate patients
and their caregivers about changes to their medication.
Methods: During the medication review we identified ongoing
pharmaceutical care issues which were communicated to the patient’s
primary care physician (GP) by letter or a telephone call. The patients
were also encouraged to discuss any issues raised with their GP. The
significance of the interventions was classified from those not likely to
be of clinical benefit to the patient, to those which prevented serious
therapeutic failure.
Results: Data was collected from 47 of the 48 patients who attended
the clinic (median age was 52 (IQR, 44-57) median ICU LOS was 15
(IQR 9-25), median APACHE II was 23 (IQR 18-27) and 32 of the patients
were men (67%). The pharmacist made 69 recommendations;
including 20 relating to drugs which had been withheld and not
restarted, dose adjustments were suggested on 13 occasions and
new drug recommendations were made for 10 patients. Duration of treatment for new medications started during hospital admission
was clarified on 12 occasions. Lastly adverse drug effects were reported
on 4 occasions and the incorrect drug was prescribed on 2
occasions. Of the interventions made 58% were considered to be of
moderate to high impact.
Conclusions: The pharmacist identified pharmaceutical care issues
with 18.6% of the prescribed medications. Just over half of the patients
reported that they were not made aware of any alterations to
their prescribed medication on discharge. Therefore a pharmacy
intervention is an essential part of an intensive care rehabilitation
programme to address any medication related problems, provide
education and to ensure patients gain optimal benefit from their
medication
Comparison of microanalytical methods for estimating H20 contents of silicic volcanic glasses
Three methods of estimating H20 contents of geologic glasses are compared: (1) ion
microprobe analysis (secondary ion mass spectrometry), (2) Fourier-transform infrared
spectroscopy (FTIR), and (3) electron microprobe analysis using the Na decay-curve method.
Each analytical method has its own advantages under certain conditions, depending
on the relative importance of analytical accuracy, precision, sensitivity, spatial resolution,and convenience, and each is capable of providing reasonably accurate estimates of the H20, or total volatile, content of geologic glasses. The accuracy of ion microprobe analyses
depends critically on the availability of well-characterized hydrous standard glasses. Precision is often better than 0,2 wt% (10). The method provides good spatial resolution (-15
#m) and the capability to determine simultaneously the abundance of other volatile species of interest (e.g., F, B). FTIR spectroscopy provides excellent analytical sensitivity (-10
ppm), accuracy and precision «0.1 wt%), and the capability to determine the abundance
of H20 and C02 species (H20, OH-, C02' eOj-) in analyzed glasses, although the spatial
resolution (> 25-35 #m) is not as good as that of the ion microprobe. The main advantages
of the estimation of H20 contents of hydrous glasses using the electron microprobe are
excellent spatial resolution (- 10 #m) and analytical convenience. The disadvantages are
that accuracy and precision (>0.5 wt%) are not as good as those associated with the other
methods, but, for certain applications, these uncertainties may be acceptable for the estimation of H20 contents of H20-rich (> 1 wt%) samples
Detection of OH absorption against PSR B1849+00
We have searched for OH absorption against seven pulsars using the Arecibo
telescope. In both OH mainlines (at 1665 and 1667 MHz), deep and narrow
absorption features were detected toward PSR B1849+00. In addition, we have
detected several absorption and emission features against B33.6+0.1, a nearby
supernova remnant (SNR). The most interesting result of this study is that a
pencil-sharp absorption sample against the PSR differs greatly from the
large-angle absorption sample observed against the SNR. If both the PSR and the
SNR probe the same molecular cloud then this finding has important implications
for absorption studies of the molecular medium, as it shows that the statistics
of absorbing OH depends on the size of the background source. We also show that
the OH absorption against the PSR most likely originates from a small (<30
arcsec) and dense (>10^5 cm^-3) molecular clump.Comment: 12 pages, 8 figures. Accepted for publication in Ap
Relativistic bound-state equations in three dimensions
Firstly, a systematic procedure is derived for obtaining three-dimensional
bound-state equations from four-dimensional ones. Unlike ``quasi-potential
approaches'' this procedure does not involve the use of delta-function
constraints on the relative four-momentum. In the absence of negative-energy
states, the kernels of the three-dimensional equations derived by this
technique may be represented as sums of time-ordered perturbation theory
diagrams. Consequently, such equations have two major advantages over
quasi-potential equations: they may easily be written down in any Lorentz
frame, and they include the meson-retardation effects present in the original
four-dimensional equation. Secondly, a simple four-dimensional equation with
the correct one-body limit is obtained by a reorganization of the generalized
ladder Bethe-Salpeter kernel. Thirdly, our approach to deriving
three-dimensional equations is applied to this four-dimensional equation, thus
yielding a retarded interaction for use in the three-dimensional bound-state
equation of Wallace and Mandelzweig. The resulting three-dimensional equation
has the correct one-body limit and may be systematically improved upon. The
quality of the three-dimensional equation, and our general technique for
deriving such equations, is then tested by calculating bound-state properties
in a scalar field theory using six different bound-state equations. It is found
that equations obtained using the method espoused here approximate the wave
functions obtained from their parent four-dimensional equations significantly
better than the corresponding quasi-potential equations do.Comment: 28 pages, RevTeX, 6 figures attached as postscript files. Accepted
for publication in Phys. Rev. C. Minor changes from original version do not
affect argument or conclusion
Thermal expansion, heat capacity and magnetostriction of RAl (R = Tm, Yb, Lu) single crystals
We present thermal expansion and longitudinal magnetostriction data for cubic
RAl3 (R = Tm, Yb, Lu) single crystals. The thermal expansion coefficient for
YbAl3 is consistent with an intermediate valence of the Yb ion, whereas the
data for TmAl3 show crystal electric field contributions and have strong
magnetic field dependencies. de Haas-van Alphen-like oscillations were observed
in the magnetostriction data of YbAl3 and LuAl3, several new extreme orbits
were measured and their effective masses were estimated. Zero and 140 kOe
specific heat data taken on both LuAl3 and TmAl3 for T < 200 K allow for the
determination of a CEF splitting scheme for TmAl3
Mitochondrial Ca²⁺ Uniporter haploinsufficiency enhances long-term potentiation at hippocampal mossy fibre synapses
Long-term changes in synaptic strength form the basis of learning and memory. These changes rely upon energy demanding mechanisms which are regulated by local Ca2+ signaling. Mitochondria are optimised for providing energy and buffering Ca2+. However, our understanding of the role of mitochondria in regulating synaptic plasticity is incomplete. Here we have used optical and electrophysiological techniques in cultured hippocampal neurons and ex vivo hippocampal slices from mice with haploinsufficiency of the mitochondrial Ca2+ uniporter (MCU+/-) to address whether reducing mitochondrial Ca2+ uptake alters synaptic transmission and plasticity. We found that cultured MCU+/- hippocampal neurons have impaired Ca2+ clearance, and consequently enhanced synaptic vesicle fusion at presynapses occupied by mitochondria. Furthermore, long-term potentiation (LTP) at mossy fibre (MF) synapses, a process which is dependent on presynaptic Ca2+ accumulation, is enhanced in MCU+/- slices. Our results reveal a previously unrecognized role for mitochondria in regulating presynaptic plasticity of a major excitatory pathway involved in learning and memory
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