6,569 research outputs found
Domiciliary occupational therapy for patients with stroke discharged from hospital: randomised controlled trial
OBJECTIVE: To establish if a brief programme of domiciliary occupational therapy could improve the recovery of patients with stroke discharged from hospital. DESIGN: Single blind randomised controlled trial. SETTING: Two hospital sites within a UK teaching hospital. SUBJECTS: 138 patients with stroke with a definite plan for discharge home from hospital. INTERVENTION: Six week domiciliary occupational therapy or routine follow up. MAIN OUTCOME MEASURES: Nottingham extended activities of daily living score and "global outcome" (deterioration according to the Barthel activities of daily living index, or death). RESULTS: By eight weeks the mean Nottingham extended activities of daily living score in the intervention group was 4.8 points (95% confidence interval -0.5 to 10.0, P=0.08) greater than that of the control group. Overall, 16 (24%) intervention patients had a poor global outcome compared with 30 (42%) control patients (odds ratio 0.43, 0.21 to 0.89, P=0.02). These patterns persisted at six months but were not statistically significant. Patients in the intervention group were more likely to report satisfaction with a range of aspects of services. CONCLUSION: The functional outcome and satisfaction of patients with stroke can be improved by a brief occupational therapy programme carried out in the patient's home immediately after discharge. Major benefits may not, however, be sustained
A dedicated haem lyase is required for the maturation of a novel bacterial cytochrome c with unconventional covalent haem binding
In bacterial c-type cytochromes, the haem cofactor is covalently attached via two cysteine residues organized in a haem c-binding motif. Here, a novel octa-haem c protein, MccA, is described that contains only seven conventional haem c-binding motifs (CXXCH), in addition to several single cysteine residues and a conserved CH signature. Mass spectrometric analysis of purified MccA from Wolinella succinogenes suggests that two of the single cysteine residues are actually part of an unprecedented CX15CH sequence involved in haem c binding. Spectroscopic characterization of MccA identified an unusual high-potential haem c with a red-shifted absorption maximum, not unlike that of certain eukaryotic cytochromes c that exceptionally bind haem via only one thioether bridge. A haem lyase gene was found to be specifically required for the maturation of MccA in W. succinogenes. Equivalent haem lyase-encoding genes belonging to either the bacterial cytochrome c biogenesis system I or II are present in the vicinity of every known mccA gene suggesting a dedicated cytochrome c maturation pathway. The results necessitate reconsideration of computer-based prediction of putative haem c-binding motifs in bacterial proteomes
Effect of Backpressure on Ion Current Density Measurements in Hall Thruster Plumes
Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/76301/1/AIAA-7713-781.pd
The photochemistry of carbon monoxide in the stratosphere and mesosphere evaluated from observations by the Microwave Limb Sounder on the Aura satellite
The assessment of science: the relative merits of post- publication review, the impact factor, and the number of citations
The assessment of scientific publications is an integral part of the scientific process. Here we investigate three methods of assessing the merit of a scientific paper: subjective post-publication peer review, the number of citations gained by a paper, and the impact factor of the journal in which the article was published. We investigate these methods using two datasets in which subjective post-publication assessments of scientific publications have been made by experts. We find that there are moderate, but statistically significant, correlations between assessor scores, when two assessors have rated the same paper, and between assessor score and the number of citations a paper accrues. However, we show that assessor score depends strongly on the journal in which the paper is published, and that assessors tend to over-rate papers published in journals with high impact factors. If we control for this bias, we find that the correlation between assessor scores and between assessor score and the number of citations is weak, suggesting that scientists have little ability to judge either the intrinsic merit of a paper or its likely impact. We also show that the number of citations a paper receives is an extremely error-prone measure of scientific merit. Finally, we argue that the impact factor is likely to be a poor measure of merit, since it depends on subjective assessment. We conclude that the three measures of scientific merit considered here are poor; in particular subjective assessments are an error-prone, biased, and expensive method by which to assess merit. We argue that the impact factor may be the most satisfactory of the methods we have considered, since it is a form of pre-publication review. However, we emphasise that it is likely to be a very error-prone measure of merit that is qualitative, not quantitative
A nonparametric urn-based approach to interacting failing systems with an application to credit risk modeling
In this paper we propose a new nonparametric approach to interacting failing
systems (FS), that is systems whose probability of failure is not negligible in
a fixed time horizon, a typical example being firms and financial bonds. The
main purpose when studying a FS is to calculate the probability of default and
the distribution of the number of failures that may occur during the
observation period. A model used to study a failing system is defined default
model. In particular, we present a general recursive model constructed by the
means of inter- acting urns. After introducing the theoretical model and its
properties we show a first application to credit risk modeling, showing how to
assess the idiosyncratic probability of default of an obligor and the joint
probability of failure of a set of obligors in a portfolio of risks, that are
divided into reliability classes
Intersyngenic variations in the esterases and acid phosphatases of Tetrahymena pyriformis
The esterase and acid phosphatase isozymes were surveyed in strains of syngens 2–12 under conditions found to be optimal for syngen 1. Both intersyngenic and intrasyngenic variations were found. Comparisons of the esterases suggest that homologous enzymes are present in certain syngens and that some ordering of the variations with respect to syngen differences is possible. The acid phosphatases are highly polymorphic in different strains even within a syngen, and the variations cannot be ordered with respect to syngen differences. These results are discussed in terms of other types of studies directed at assessing syngen relationships and in terms of the sources of variation. It was concluded that only characters less vulnerable to intra clonal variation will be capable of revealing syngen relationships.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/44168/1/10528_2004_Article_BF00485640.pd
Two inhibitors of yeast plasma membrane ATPase 1 (ScPma1p): toward the development of novel antifungal therapies
Given that many antifungal medications are susceptible to evolved resistance, there is a need for novel drugs with unique mechanisms of action. Inhibiting the essential proton pump Pma1p, a P-type ATPase, is a potentially effective therapeutic approach that is orthogonal to existing treatments. We identify NSC11668 and hitachimycin as structurally distinct antifungals that inhibit yeast ScPma1p. These compounds provide new opportunities for drug discovery aimed at this important target
Biomarkers of oxidant stress, insulin sensitivity and endothelial activation in rheumatoid arthritis: a cross-sectional study of their association with accelerated atherosclerosis
<p>Abstract</p> <p>Background</p> <p>Women with rheumatoid arthritis (RA) have increased morbidity and mortality due to coronary heart disease. Chronic systemic inflammation is known to accelerate atherosclerosis and increase arterial stiffness in patients, but other mechanisms may also be involved. Biomarkers of oxidant stress, inflammation, insulinaemia and endothelial dysfunction were measured in blood and urine from 46 RA patients and 48 age-matched controls. Plaque formation and intima-medial thickness (IMT) were measured using B-mode carotid Doppler scan.</p> <p>Findings</p> <p>The prevalence of plaque was increased (p = 0.042) in RA patients between 50–59 years old compared to the same age group in controls. 8-isoprostane (p = 0.004), C-reactive protein (p < 0.001), interleukin-6 (p < 0.001), insulin (p = 0.035), adiponectin (p = 0.012), vascular cell adhesion molecule (VCAM) (p = 0.029) and E-selectin (p < 0.001) were all increased while selenium (p = 0.003) and LDL-cholesterol (p = 0.025) were both decreased in all RA patients. 8-isoprostane correlated with 10 year cardiac risk (r = 0.55, p < 0.001), VCAM with IMT (r = 0.37, p = 0.012) and E-selectin with rheumatoid factor titre (r = 0.43, p = 0.003) in RA patients. In the control group, age, carotid IMT, VCAM, systolic blood pressure and smoking status were all associated with plaque development whereas in RA patients only age was associated with plaque.</p> <p>Conclusion</p> <p>The burden of atherosclerosis is particularly increased in middle-aged women with RA. Patients with RA have increased levels of oxidant stress, inflammation, insulin and soluble adhesion molecules. As the association between classical risk factors was much weaker in RA patients compared to controls, these additional factors may be more important in the accelerated development of atheroma in RA.</p
Observation of coherent many-body Rabi oscillations
A two-level quantum system coherently driven by a resonant electromagnetic
field oscillates sinusoidally between the two levels at frequency
which is proportional to the field amplitude [1]. This phenomenon, known as the
Rabi oscillation, has been at the heart of atomic, molecular and optical
physics since the seminal work of its namesake and coauthors [2]. Notably, Rabi
oscillations in isolated single atoms or dilute gases form the basis for
metrological applications such as atomic clocks and precision measurements of
physical constants [3]. Both inhomogeneous distribution of coupling strength to
the field and interactions between individual atoms reduce the visibility of
the oscillation and may even suppress it completely. A remarkable
transformation takes place in the limit where only a single excitation can be
present in the sample due to either initial conditions or atomic interactions:
there arises a collective, many-body Rabi oscillation at a frequency
involving all N >> 1 atoms in the sample [4]. This is true even
for inhomogeneous atom-field coupling distributions, where single-atom Rabi
oscillations may be invisible. When one of the two levels is a strongly
interacting Rydberg level, many-body Rabi oscillations emerge as a consequence
of the Rydberg excitation blockade. Lukin and coauthors outlined an approach to
quantum information processing based on this effect [5]. Here we report initial
observations of coherent many-body Rabi oscillations between the ground level
and a Rydberg level using several hundred cold rubidium atoms. The strongly
pronounced oscillations indicate a nearly complete excitation blockade of the
entire mesoscopic ensemble by a single excited atom. The results pave the way
towards quantum computation and simulation using ensembles of atoms
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