304 research outputs found

    Synchronization in a mechanical resonator array coupled quadratically to a common electromagnetic field mode

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    Optomechanical systems are based on the nonlinear coupling between the electromagnetic (EM) field in a resonator and one or more bulk mechanical resonators such that the frequency of the EM field resonator depends on the displacement coordinates of each of the mechanical resonators. In this paper we consider the case of multiple mechanical resonators interacting with a common field for which the frequency of the EM resonance is tuned to depend quadratically (to lowest order) on the displacement of the resonators. By using the method of amplitude equations around a critical point, it is shown that groups of near-identical bulk mechanical resonators with low driving fail to synchronize unless their natural frequencies are identical, in which case the resulting system can exhibit multistability

    Multihierarchical electrodes based on titanate nanotubes and zinc oxide nanorods for photoelectrochemical water splitting

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    Studies involving water splitting to form hydrogen and oxygen have attracted attention because H2 is considered the fuel of the future. Photoelectrocatalysts have been widely used for this application, and several metal oxides can be applied as catalysts. Among them, we highlight zinc oxide nanorods (ZnONRs) and titanate nanotubes (TiNTs); however, their individual nanostructures exhibit disadvantages. For example, ZnONR shows rapid recombination of the photogenerated charges, and TiNT gives rise to randomly orientated films; these disadvantages limit their application as photoanodes. In this study, for the first time, we present a new class of multihierarchical electrodes based on TiNT-decorated ZnONR films that exhibited superior results to the individual species. The TiNTs are homogenously dispersed over the surface of the rods without forming agglomerates, giving rise to a heterojunction that exhibits lower recombination rates. It was found that the results are better when the contents of TiNT in the electrode are higher; thus, glycine was successfully used as a bridge to link both of the structures, increasing the amount of TiNT decorating the rods. As a result, the photocurrent generated with these multihierarchical electrodes is higher than that obtained for pure ZnONR electrodes (0.9 mA and 0.45 mA, respectively), and the electrode potentials for O2 evolution is lower than that observed for pure TiNT electrodes (0 V and 0.8 V vs. ERHE, respectively). The IPCE values are also higher for the multihierarchical electrodes

    Dementia and delirium, the outcomes in elderly hip fracture patients

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    Background: Delirium in hip fractured patients is a frequent complication. Dementia is an important risk factor for delirium and is common in frail elderly. This study aimed to extend the previous knowledge on risk factors for delirium and the consequences. Special attention was given to patients with dementia and delirium. Methods: This is a retrospective cohort study performed in the Amphia Hospital, Breda, the Netherlands. A full electronic patient file system (Hyperspace Version IU4: Epic, Inc., Verona, WI, USA) was used to assess data between January 2014 and September 2015. All patients presented were aged ≥70 years with a hip fracture, who underwent surgery with osteosynthesis or arthroplasty. Patients were excluded in case of a pathological or a periprosthetic hip fracture, multiple traumatic injuries, and high-energy trauma. Patient and surgical characteristics were documented. Postoperative outcomes were noted. Delirium was screened using Delirium Observation Screening Scale and dementia was assessed from medical notes. Results: Of a total of 566 included patients, 75% were females. The median age was 84 years (interquartile range: 9). Delirium was observed in 35%. Significant risk factors for delirium were a high American Society of Anesthesiology score, delirium in medical history, functional dependency, preoperative institutionalization, low hemoglobin level, and high amount of blood transfusion. Delirium was correlated with a longer hospital stay (P=0.001), increased association with comp

    Minimum mass-radius ratio for charged gravitational objects

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    We rigorously prove that for compact charged general relativistic objects there is a lower bound for the mass-radius ratio. This result follows from the same Buchdahl type inequality for charged objects, which has been extensively used for the proof of the existence of an upper bound for the mass-radius ratio. The effect of the vacuum energy (a cosmological constant) on the minimum mass is also taken into account. Several bounds on the total charge, mass and the vacuum energy for compact charged objects are obtained from the study of the Ricci scalar invariants. The total energy (including the gravitational one) and the stability of the objects with minimum mass-radius ratio is also considered, leading to a representation of the mass and radius of the charged objects with minimum mass-radius ratio in terms of the charge and vacuum energy only.Comment: 19 pages, accepted by GRG, references corrected and adde

    Ferrets as a novel animal model for studying human respiratory syncytial virus infections in immunocompetent and immunocompromised hosts

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    Human respiratory syncytial virus (HRSV) is an important cause of severe respiratory tract disease in immunocompromised patients. Animal models are indispensable for evaluating novel intervention strategies in this complex patient population. To complement existing models in rodents and non-human primates, we have evaluated the potential benefits of an HRSV infection model in ferrets (Mustela putorius furo). Nine- to 12-month-old HRSV-seronegative immunocompetent or immunocompromised ferrets were infected with a low-passage wild-type strain of HRSV subgroup A (105 TCID50) administered by intra-tracheal or intra-nasal inoculation. Immune suppression was achieved by bi-daily oral administration of tacrolimus, mycophenolate mofetil, and prednisolone. Throat and nose swabs were collected daily and animals were euthanized four, seven, or 21 days post-infection (DPI). Virus loads were determined by quantitative virus culture and qPCR. We observed efficient HRSV replication in both the upper and lower respiratory tract. In immunocompromised ferrets, virus loads reached higher levels and showed delayed clearance as compared to those in immunocompetent animals. Histopathological evaluation of animals euthanized 4 DPI demonstrated that the virus replicated in the respiratory epithelial cells of the trachea, bronchi, and bronchioles. These animal models can contribute to an assessment of the efficacy and safety of novel HRSV intervention strategies

    Measurement of the cosmic microwave background polarization lensing power spectrum from two years of POLARBEAR data

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    We present a measurement of the gravitational lensing deflection power spectrum reconstructed with two seasons of cosmic microwave background polarization data from the POLARBEAR experiment. Observations were taken at 150 GHz from 2012 to 2014 and surveyed three patches of sky totaling 30 square degrees. We test the consistency of the lensing spectrum with a cold dark matter cosmology and reject the no-lensing hypothesis at a confidence of 10.9σ, including statistical and systematic uncertainties. We observe a value of AL = 1.33 ± 0.32 (statistical) ±0.02 (systematic) ±0.07 (foreground) using all polarization lensing estimators, which corresponds to a 24% accurate measurement of the lensing amplitude. Compared to the analysis of the first- year data, we have improved the breadth of both the suite of null tests and the error terms included in the estimation of systematic contamination

    Lung metastases in low-risk gestational trophoblastic neoplasia: a retrospective cohort study

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    Objective: Presence of lung metastases in low-risk gestational trophoblastic neoplasia (GTN) is generally considered not to influence prognosis. However, in a recent study in the Netherlands, GTN patients with lung metastases had a higher recurrence rate and more disease-specific deaths compared with patients without metastases. The aim of the present study was to validate these findings in a different country. Design: Historical cohort study. Setting: Charing Cross Hospital, United Kingdom. Population: A total of 1040 low-risk GTN patients treated with methotrexate (MTX) between 2002 and 2016 were identified: 65 with lung metastases (group 1) and 975 without metastases (group 2). Methods: Baseline characteristics, MTX resistance, survival and recurrence rates were recorded and compared between both groups. Main outcome measures: MTX resistance, recurrence rate and survival. Results: The occurrence of MTX resistance and median number of MTX courses to achieve remission was significantly higher in patients with lung metastases than patients without metastases (60% versus 38.9%, P = 0.001; and nine versus six courses, P < 0.001). All choriocarcinoma patients (n = 4) with lung metastases developed MTX resistance. The recurrence rate was also higher in group I (9.2% versus 2.7%; P = 0.012). Disease-specific survival was 100% in both groups. Conclusions: The presence of lung metastases at the start of MTX therapy is associated with increased incidence of MTX resistance and recurrence in low-risk GTN without affecting overall survival, which remains 100%. However, individuals with low-risk choriocarcinoma with lung metastases are likely to become resistant to MTX and primary multi-agent chemotherapy should be considered. Tweetable abstract: The presence of lung metastases appears to increase the risk of recurrence in low-risk GTN, but does not affect overall cure rates and survival

    Immunosuppressive potential of human amnion epithelial cells in the treatment of experimental autoimmune encephalomyelitis

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    BACKGROUND: Multiple sclerosis (MS) is an autoimmune inflammatory disease of the central nervous system (CNS). In recent years, it has been found that cells such as human amnion epithelial cells (hAECs) have the ability to modulate immune responses in vitro and in vivo and can differentiate into multiple cell lineages. Accordingly, we investigated the immunoregulatory effects of hAECs as a potential therapy in an MS-like disease, EAE (experimental autoimmune encephalomyelitis), in mice. METHODS: Using flow cytometry, the phenotypic profile of hAECs from different donors was assessed. The immunomodulatory properties of hAECs were examined in vitro using antigen-specific and one-way mixed lymphocyte proliferation assays. The therapeutic efficacy of hAECs was examined using a relapsing-remitting model of EAE in NOD/Lt mice. T cell responsiveness, cytokine secretion, T regulatory, and T helper cell phenotype were determined in the peripheral lymphoid organs and CNS of these animals. RESULTS: In vitro, hAECs suppressed both specific and non-specific T cell proliferation, decreased pro-inflammatory cytokine production, and inhibited the activation of stimulated T cells. Furthermore, T cells retained their naïve phenotype when co-cultured with hAECs. In vivo studies revealed that hAECs not only suppressed the development of EAE but also prevented disease relapse in these mice. T cell responses and production of the pro-inflammatory cytokine interleukin (IL)-17A were reduced in hAEC-treated mice, and this was coupled with a significant increase in the number of peripheral T regulatory cells and naïve CD4+ T cells. Furthermore, increased proportions of Th2 cells in the peripheral lymphoid organs and within the CNS were observed. CONCLUSION: The therapeutic effect of hAECs is in part mediated by inducing an anti-inflammatory response within the CNS, demonstrating that hAECs hold promise for the treatment of autoimmune diseases like MS
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