2,281 research outputs found
Airway Management in UK Ambulance Services: Results of the National Ambulance Service Airway Audit
The Economic and Environmental Indicators for Evaluating the National Pilot Project on Livestock and the Environment
The livestock and dairy industries are consolidating and concentrating within confined geographical areas. Accompanying these structural adjustments that are under way in the dairy and livestock industries is the potential for increased point and nonpoint source pollution problems from animal waste disposal. An assessment of optimal policies and best management practices to control pollution from CAFOs requires an integrated evaluation of economic and environmental consequences from alternative policies and practices. To perform this integrated assessment, a set of important economic and environmental indicators that these policies will affect have to be identified. This paper reviews indicators used in other site-specific studies and recommends a feasible set of economic and environmental indicators for the national pilot project
Characterisation of the sarcomeric myosin heavy chain multigene family in the laboratory guinea pig
BACKGROUND:Several chronic conditions leading to skeletal muscle dysfunction are known to be associated with changes in the expression of myosin heavy chain (MHC) isoforms at both the mRNA and protein level. Many of these conditions are modelled, pre-clinically, in the guinea pig due to similar disease onset and progression to the human condition, and their generally well-characterised anatomy. MHC composition is amenable to determination by protein and mRNA based methodologies, the latter quantifying the expression of MHC isoform-specific gene transcripts allowing the detection of earlier, and more subtle changes. As such, the MHC mRNAs, and specific oligonucleotide primers of all common laboratory species have been available for some time. However, due to incomplete genomic annotation, assessment of guinea pig MHC mRNA expression has not been previously possible, precluding the full characterisation of early changes in skeletal muscle in response to disease and disease modulation.The purpose of this study was to characterise the multigenic structure of the sarcomeric MHC family in the guinea pig, and to design and validate specific oligonucleotide primers to enable the assessment of the predominant adult-muscle associated MHC mRNAs in relevant disease models.RESULTS:Using a combination of ligase-mediated rapid amplification of 5' and 3' cDNA ends (RACE) and bioinformatics, mRNAs to the four main skeletal-muscle isoforms of MHC were determined. Specific oligonucleotide primers were designed, and following verification of their specificity, found to successfully determine the expression of each MHC mRNA independently.CONCLUSIONS:Because of their utilisation in the in vivo modelling of disease, there is a requirement to develop molecular methods that accurately differentiate the different MHC mRNAs in the guinea pig to enable rapid profiling of muscle composition in appropriate disease models. The methods developed here are suitable for the characterisation of muscle MHC expression at the molecular level from animal tissue samples and biopsy material. The publication of these specific oligonucleotide primers for the guinea pig MHC variants will enable researchers to rapidly and accurately quantify acute changes in MHC mRNA expression in either developmental or in guinea pig disease models where a marker of altered skeletal muscle function is required
Incoherent transient radio emission from stellar-mass compact objects in the SKA era
The universal link between the processes of accretion and ejection leads to
the formation of jets and outflows around accreting compact objects. Incoherent
synchrotron emission from these outflows can be observed from a wide range of
accreting binaries, including black holes, neutron stars, and white dwarfs.
Monitoring the evolution of the radio emission during their sporadic outbursts
provides important insights into the launching of jets, and, when coupled with
the behaviour of the source at shorter wavelengths, probes the underlying
connection with the accretion process. Radio observations can also probe the
impact of jets/outflows (including other explosive events such as magnetar
giant flares) on the ambient medium, quantifying their kinetic feedback.
The high sensitivity of the SKA will open up new parameter space, enabling
the monitoring of accreting stellar-mass compact objects from their bright,
Eddington-limited outburst states down to the lowest-luminosity quiescent
levels, whose intrinsic faintness has to date precluded detailed studies. A
census of quiescently accreting black holes will also constrain binary
evolution processes. By enabling us to extend our existing investigations of
black hole jets to the fainter jets from neutron star and white dwarf systems,
the SKA will permit comparative studies to determine the role of the compact
object in jet formation. The high sensitivity, wide field of view and
multi-beaming capability of the SKA will enable the detection and monitoring of
all bright flaring transients in the observable local Universe, including the
ULXs, ...
[Abridged]
This chapter reviews the science goals outlined above, demonstrating the
progress that will be made by the SKA. We also discuss the potential of the
astrometric and imaging observations that would be possible should a
significant VLBI component be included in the SKA.Comment: To be published in: "Advancing Astrophysics with the Square Kilometre
Array", Proceedings of Science, PoS(AASKA14
Ordered growth of vanadyl phthalocyanine (VOPc) on an iron phthalocyanine (FePc) monolayer
The growth and characterisation of a non-planar phthalocyanine (Vanadyl Phthalocyanine, VOPc) on a complete monolayer (ML) of a planar phthalocyanine (Iron (II) Phthalocyanine, FePc) on an Au (111) surface, has been investigated using ultra-high vacuum (UHV) scanning tunnelling microscopy (STM) and low energy electron diffraction (LEED). The surface mesh of the initial FePc monolayer has been determined and shown to correspond to an incommensurate overlayer, not commensurate as previously reported. Ordered islands of VOPc, with (1x1) epitaxy, grow on the FePc layer at submonolayer coverages. The individual VOPc molecules occupy sites directly atop the underlying FePc molecules, indicating that significant intermolecular bonding must occur. It is proposed that this interaction implies that the V=O points down into the surface, allowing a Fe-O bond to form. The detailed appearance of the STM images of the VOPc molecules is consistent with previous studies in other VOPc growth studies in which this molecular orientation has been proposed
Benefits of robotic cystectomy with intracorporeal diversion for patients with low cardiorespiratory fitness: a prospective cohort study
Background:
Patients undergoing radical cystectomy have associated comorbidities resulting in reduced cardiorespiratory fitness. Preoperative cardiopulmonary exercise testing (CPET) measures including anaerobic threshold (AT) can predict major adverse events (MAE) and hospital length of stay (LOS) for patients undergoing open and robotic cystectomy with extracorporeal diversion. Our objective was to determine the relationship between CPET measures and outcome in patients undergoing robotic radical cystectomy and intracorporeal diversion (intracorporeal robotic assisted radical cystectomy [iRARC]).
Methods:
A single institution prospective cohort study in patients undergoing iRARC for muscle invasive and high-grade bladder cancer. Inclusion: patients undergoing standardised CPET before iRARC. Exclusions: patients not consenting to data collection. Data on CPET measures (AT, ventilatory equivalent for carbon dioxide [VE/VCO2] at AT, peak oxygen uptake [VO2]), and patient demographics prospectively collected. Outcome measurements included hospital LOS; 30-day MAE and 90-day mortality data, which were prospectively recorded. Descriptive and regression analyses were used to assess whether CPET measures were associated with or predicted outcomes.
Results:
From June 2011 to March 2015, 128 patients underwent radical cystectomy (open cystectomy, n = 17; iRARC, n = 111). A total of 82 patients who underwent iRARC and CPET and consented to participation were included. Median (interquartile range): age = 65 (58–73); body mass index = 27 (23–30); AT = 10.0 (9–11), Peak VO2 = 15.0 (13–18.5), VE/VCO2 (AT) = 33.0 (30–38). 30-day MAE = 14/111 (12.6%): death = 2, multiorgan failure = 2, abscess = 2, gastrointestinal = 2, renal = 6; 90-day mortality = 3/111 (2.7%). AT, peak VO2, and VE/VCO2 (at AT) were not significant predictors of 30-day MAE or LOS. The results are limited by the absence of control group undergoing open surgery.
Conclusions:
Poor cardiorespiratory fitness does not predict increased hospital LOS or MAEs in patients undergoing iRARC. Overall, MAE and LOS comparable with other series
Structural templating in a nonplanar phthalocyanine using single crystal copper iodide
Solution-grown copper iodide crystals are used as substrates for the templated growth of the nonplanar vanadyl phthalocyanine using organic molecular beam deposition. Structural characterization reveals a single molecular orientation produced by the (111) Miller plane of the copper iodide crystals. These fundamental measurements show the importance of morphology and structure in templating interactions for organic electronics applications
SkyMapper Southern Survey: First Data Release (DR1)
We present the first data release (DR1) of the SkyMapper Southern Survey, a
hemispheric survey carried out with the SkyMapper Telescope at Siding Spring
Observatory in Australia. Here, we present the survey strategy, data
processing, catalogue construction and database schema. The DR1 dataset
includes over 66,000 images from the Shallow Survey component, covering an area
of 17,200 deg in all six SkyMapper passbands , while the full area
covered by any passband exceeds 20,000 deg. The catalogues contain over 285
million unique astrophysical objects, complete to roughly 18 mag in all bands.
We compare our point-source photometry with PanSTARRS1 DR1 and note an
RMS scatter of 2%. The internal reproducibility of SkyMapper photometry is on
the order of 1%. Astrometric precision is better than 0.2 arcsec based on
comparison with Gaia DR1. We describe the end-user database, through which data
are presented to the world community, and provide some illustrative science
queries.Comment: 31 pages, 19 figures, 10 tables, PASA, accepte
Software Citation Implementation Challenges
The main output of the FORCE11 Software Citation working group
(https://www.force11.org/group/software-citation-working-group) was a paper on
software citation principles (https://doi.org/10.7717/peerj-cs.86) published in
September 2016. This paper laid out a set of six high-level principles for
software citation (importance, credit and attribution, unique identification,
persistence, accessibility, and specificity) and discussed how they could be
used to implement software citation in the scholarly community. In a series of
talks and other activities, we have promoted software citation using these
increasingly accepted principles. At the time the initial paper was published,
we also provided guidance and examples on how to make software citable, though
we now realize there are unresolved problems with that guidance. The purpose of
this document is to provide an explanation of current issues impacting
scholarly attribution of research software, organize updated implementation
guidance, and identify where best practices and solutions are still needed
Comparison of high and low intensity contact between secondary and primary care to detect people at ultra-high risk for psychosis: study protocol for a theory-based, cluster randomized controlled trial.
BACKGROUND: The early detection and referral to specialized services of young people at ultra-high risk (UHR) for psychosis may reduce the duration of untreated psychosis and, therefore, improve prognosis. General practitioners (GPs) are usually the healthcare professionals contacted first on the help-seeking pathway of these individuals. METHODS/DESIGN: This is a cluster randomized controlled trial (cRCT) of primary care practices in Cambridgeshire and Peterborough, UK. Practices are randomly allocated into two groups in order to establish which is the most effective and cost-effective way to identify people at UHR for psychosis. One group will receive postal information about the local early intervention in psychosis service, including how to identify young people who may be in the early stages of a psychotic illness. The second group will receive the same information plus an additional, ongoing theory-based educational intervention with dedicated liaison practitioners to train clinical staff at each site. The primary outcome of this trial is count data over a 2-year period: the yield - number of UHR for psychosis referrals to a specialist early intervention in psychosis service - per primary care practice. DISCUSSION: There is little guidance on the essential components of effective and cost-effective educational interventions in primary mental health care. Furthermore, no study has demonstrated an effect of a theory-based intervention to help GPs identify young people at UHR for psychosis. This study protocol is underpinned by a robust scientific rationale that intends to address these limitations. TRIAL REGISTRATION: Current Controlled Trials ISRCTN70185866.RIGHTS : This article is licensed under the BioMed Central licence at http://www.biomedcentral.com/about/license which is similar to the 'Creative Commons Attribution Licence'. In brief you may : copy, distribute, and display the work; make derivative works; or make commercial use of the work - under the following conditions: the original author must be given credit; for any reuse or distribution, it must be made clear to others what the license terms of this work are
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