Order in extremal trajectories

Given a chaotic dynamical system and a time interval in which some quantity takes an unusually large average value, what can we say of the trajectory that yields this deviation? As an example, we study the trajectories of the archetypical chaotic system, the baker's map. We show that, out of all irregular trajectories, a large-deviation requirement selects (isolated) orbits that are periodic or quasiperiodic. We discuss what the relevance of this calculation may be for dynamical systems and for glasses

DPHL: A DIA Pan-human Protein Mass Spectrometry Library for Robust Biomarker Discovery

To address the increasing need for detecting and validating protein biomarkers in clinical specimens, mass spectrometry (MS)-based targeted proteomic techniques, including the selected reaction monitoring (SRM), parallel reaction monitoring (PRM), and massively parallel data-independent acquisition (DIA), have been developed. For optimal performance, they require the fragment ion spectra of targeted peptides as prior knowledge. In this report, we describe a MS pipeline and spectral resource to support targeted proteomics studies for human tissue samples. To build the spectral resource, we integrated common open-source MS computational tools to assemble a freely accessible computational workflow based on Docker. We then applied the workflow to generate DPHL, a comprehensive DIA pan-human library, from 1096 data-dependent acquisition (DDA) MS raw files for 16 types of cancer samples. This extensive spectral resource was then applied to a proteomic study of 17 prostate cancer (PCa) patients. Thereafter, PRM validation was applied to a larger study of 57 PCa patients and the differential expression of three proteins in prostate tumor was validated. As a second application, the DPHL spectral resource was applied to a study consisting of plasma samples from 19 diffuse large B cell lymphoma (DLBCL) patients and 18 healthy control subjects. Differentially expressed proteins between DLBCL patients and healthy control subjects were detected by DIA-MS and confirmed by PRM. These data demonstrate that the DPHL supports DIA and PRM MS pipelines for robust protein biomarker discovery. DPHL is freely accessible at https://www.iprox.org/page/project.html?id=IPX0001400000

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Strength decay of orthodontic elastomeric ligatures

Aim: To evaluate, over a 12-week period, the tensile strength (TS) and extension to TS of elastomeric ligatures (both clear and coloured) obtained from two companies. Setting Ex vivo study. Method: Seven replicates of five ligatures from two orthodontic companies were tested using an ex vivo assembly which simulated a clinical situation. Results: The ligatures tested had a similar TS decay pattern, with the TS gradually decreasing over the duration of the study. The Unitek ligatures exhibited a greater TS than their respective Ormco ligatures. Generally, all of the ligatures tested experienced an increase in the extension to TS over time. The pre-stretching procedure used in this study did not produce any long-term detrimental effects on the TS and extension to TS of the ligatures tested. Conclusions: The results of this study confirm there are differences in TS, and extension to TS between clear and coloured elastomeric ligatures, and that some significant differences also exist between different brands of elastomeric ligatures