27,245 research outputs found

    Formation of porous surface layers in reaction bonded silicon nitride during processing

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    An effort was undertaken to determine if the formation of the generally observed layer of large porosity adjacent to the as-nitride surfaces of reaction bonded silicon nitrides could be prevented during processing. Isostatically pressed test bars were prepared from wet vibratory milled Si powder. Sintering and nitriding were each done under three different conditions:(1) bars directly exposed to the furnance atmosphere; (2) bars packed in Si powder; (3) bars packed in Si3N4 powder. Packing the bars in either Si of Si3N4 powder during sintering retarded formation of the layer of large porosity. Only packing the bars in Si prevented formation of the layer during nitridation. The strongest bars (316 MPa) were those sintered in Si and nitrided in Si3N4 despite their having a layer of large surface porosity; failure initiated at very large pores and inclusions. The alpha/beta ratio was found to be directly proportional to the oxygen content; a possible explanation for this relationship is discussed

    Reaction bonded silicon nitride prepared from wet attrition-milled silicon

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    Silicon powder wet milled in heptane was dried, compacted into test bar shape, helium-sintered, and then reaction bonded in nitrogen-4 volume percent hydrogen. As-nitrided bend strengths averaged approximately 290 MPa at both room temperature and 1400 C. Fracture initiation appeared to be associated with subsurface flaws in high strength specimens and both subsurface and surface flaws in low strength specimens

    How the nursing associate role is viewed by different stakeholders: a qualitative research study

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    Background: The nursing associate role was created following a review by Health Education England in 2015 that examined nurse education and training so that capacity and improvements could be made to the provision of care in England. Objective: To explore different stakeholder perspectives of how the nursing associate role has been embedded within local healthcare practice. Design: The study was designed to explore and evaluate the role of the nursing associate in practice from the perspectives of those stakeholders who have experience of working with the nursing associate. Setting(s): Online semi-structured interviews. Participants: 9 stakeholder participants who had direct contact with the nursing associate or trainee nursing associate in the practice setting. Methods: A mixed-methods qualitative approach was used, which included a creative methodological approach in the form of photo-elicitation and semi-structured interviews to explore the lived experience of participants. Results: Analysis revealed 2 superordinate themes: (1) the contribution of the nursing associate; (2) real-work perspectives of the role. Conclusions: The findings demonstrated that the role was important to the provision of care, but that there were challenges related to communication, support and education provision throughout the organisations

    Activation of the P2Y2 receptor regulates bone cell function by enhancing ATP release

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    Bone cells constitutively release ATP into the extracellular environment where it acts locally via P2 receptors to regulate bone cell function. Whilst P2Y2 receptor stimulation regulates bone mineralisation, the functional effects of this receptor in osteoclasts remain unknown. This investigation used the P2Y2 receptor knockout (P2Y2R−/−) mouse model to investigate the role of this receptor in bone. MicroCT analysis of P2Y2R−/− mice demonstrated age-related increases in trabecular bone volume (≤48%), number (≤30%) and thickness (≤17%). In vitro P2Y2R−/− osteoblasts displayed a 3-fold increase in bone formation and alkaline phosphatase activity, whilst P2Y2R−/− osteoclasts exhibited a 65% reduction in resorptive activity. Serum cross-linked C-telopeptide levels (CTX, resorption marker) were also decreased (≤35%). The resorption defect in P2Y2R−/− osteoclasts was rescued by the addition of exogenous ATP, suggesting that an ATP deficit could be a key factor in the reduced function of these cells. In agreement, we found that basal ATP release was reduced up to 53% in P2Y2R−/− osteoclasts. The P2Y2 receptor agonists, UTP and 2-thioUTP, increased osteoclast activity and ATP release in wild-type but not in P2Y2R−/− cells. This indicates that the P2Y2 receptor may regulate osteoclast function indirectly by promoting ATP release. UTP and 2-thioUTP also stimulate ATP release from osteoblasts suggesting that the P2Y2 receptor exerts a similar function in these cells. Taken together, our findings are consistent with the notion that the primary action of P2Y2 receptor signalling in bone is to regulate extracellular ATP levels

    Microgastrinae (Hymenoptera: Braconidae) parasitizing Epirrita autumnata (Lepidoptera: Geometridae) larvae in Fennoscandia with description of Cotesia autumnatae Shaw, sp. n.

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    The microgastrine subset of hymenopteran parasitoids of the geometrid Epirrita autumnata is investigated in Fennoscandia. Ecology, including population dynamics, of the moth has been intensively studied in northern and mountainous Finland, Norway and Sweden. Recently supported hypotheses about the causes of its cyclic population dynamics stress the role of parasitoids, while the parasitoid complex with some 15 species is insufficiently known. The complex includes four solitarymicrogastrine species, Protapanteles anchisiades (Nixon), P. immunis (Wesmael), Cotesia salebrosa (Marshall) and C. autumnatae Shaw, sp. n. Here, we provide detailed figures for the latter, which is morphologically close to C. jucunda (Marshall), and describe the species as new to science. We also providemore general habitus figures of the other three species, as well as an identification key for the four species, aiming to aid recognition of these species by ecologists dealingwithmicrogastrine parasitoids of E. autumnata and their alternative geometrid hosts

    HIV-associated multi-centric Castleman’s disease with multiple organ failure: cuccessful treatment with rituximab

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    Introduction: Multicentric Castleman's Disease (MCD), a lymphoproliferative disorder associated with Human Herpes Virus-8 (HHV-8) infection, is increasing in incidence amongst HIV patients. This condition is associated with lymphadenopathy, polyclonal gammopathy, hepato-splenomegaly and systemic symptoms. A number of small studies have demonstrated the efficacy of the anti-CD20 monoclonal antibody, rituximab, in treating this condition. Case presentation: We report the case of a 46 year old Zambian woman who presented with pyrexia, diarrhoea and vomiting, confusion, lymphadenopathy, and renal failure. She rapidly developed multiple organ failure following the initiation of treatment of MCD with rituximab. Following admission to intensive care (ICU), she received prompt multi-organ support. After 21 days on the ICU she returned to the haematology medical ward, and was discharged in remission from her disease after 149 days in hospital. Conclusion: Rituximab, the efficacy of which has thus far been examined predominantly in patients outside the ICU, in conjunction with extensive organ support was effective treatment for MCD with associated multiple organ failure. There is, to our knowledge, only one other published report of its successful use in an ICU setting, where it was combined with cyclophosphamide, adriamycin and prednisolone. Reports such as ours support the notion that critically unwell patients with HIV and haematological disease can benefit from intensive care
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