1,107 research outputs found
Magnetic Actuators and Suspension for Space Vibration Control
The research on microgravity vibration isolation performed at the University of Virginia is summarized. This research on microgravity vibration isolation was focused in three areas: (1) the development of new actuators for use in microgravity isolation; (2) the design of controllers for multiple-degree-of-freedom active isolation; and (3) the construction of a single-degree-of-freedom test rig with umbilicals. Described are the design and testing of a large stroke linear actuator; the conceptual design and analysis of a redundant coarse-fine six-degree-of-freedom actuator; an investigation of the control issues of active microgravity isolation; a methodology for the design of multiple-degree-of-freedom isolation control systems using modern control theory; and the design and testing of a single-degree-of-freedom test rig with umbilicals
Tiperon
A control surface for an air vehicle (e.g., an aircraft, rocket, or missile) is useful for flight control at both subsonic and supersonic speeds. The control surface defines the outboardmost tip of a flight structure (e.g., a wing, tail or other stabilizer) of the air vehicle. Hence, the control surface is referred to as a `tiperon`. The tiperon has an approximately L-shaped configuration, and can be rotated relative to a fixed portion of the flight structure about a control axis. The respective surface areas of the tiperon sections forward and aft of the control axis are proportioned to place the subsonic center of pressure aft of the control axis to enhance aircraft control, and preferably also forward of the centroid of tiperon surface area. Also, the control surface sections forward and aft of the control axis are preferably mass-balanced, or at least nearly so, to enhance aircraft control at supersonic speeds. Either of the tiperon sections forward and aft of the control axis can be tapered to reduce the dependence of the moment exerted by air flow about the control axis, upon the tiperon's angle-of-attack. The tiperon also has enough surface area to control the air vehicle, even at low airspeeds. The invention is also directed to air vehicles incorporating one or more such control surfaces
Predicting need for hospital admission in patients with traumatic brain injury or skull fractures identified on CT imaging : a machine learning approach
Background: Patients with mild traumatic brain injury on CT scan are routinely admitted for inpatient observation. Only a small proportion of patients require clinical intervention. We recently developed a decision rule using traditional statistical techniques that found neurologically intact patients with isolated simple skull fractures or single bleeds <5 mm with no preinjury antiplatelet or anticoagulant use may be safely discharged from the emergency department. The decision rule achieved a sensitivity of 99.5% (95% CI 98.1% to 99.9%) and specificity of 7.4% (95% CI 6.0% to 9.1%) to clinical deterioration. We aimed to transparently report a machine learning approach to assess if predictive accuracy could be improved.
Methods: We used data from the same retrospective cohort of 1699 initial Glasgow Coma Scale (GCS) 13–15 patients with injuries identified by CT who presented to three English Major Trauma Centres between 2010 and 2017 as in our original study. We assessed the ability of machine learning to predict the same composite outcome measure of deterioration (indicating need for hospital admission). Predictive models were built using gradient boosted decision trees which consisted of an ensemble of decision trees to optimise model performance.
Results: The final algorithm reported a mean positive predictive value of 29%, mean negative predictive value of 94%, mean area under the curve (C-statistic) of 0.75, mean sensitivity of 99% and mean specificity of 7%. As with logistic regression, GCS, severity and number of brain injuries were found to be important predictors of deterioration.
Conclusion: We found no clear advantages over the traditional prediction methods, although the models were, effectively, developed using a smaller data set, due to the need to divide it into training, calibration and validation sets. Future research should focus on developing models that provide clear advantages over existing classical techniques in predicting outcomes in this population
Re-Os and U-Pb Geochronology of the Doña Amanda and Cerro Kiosko Deposits, Bayaguana District, Dominican Republic: Looking Down for the Porphyry Cu-Mo Roots of the Pueblo Viejo-Type Mineralization in the Island-Arc Tholeiitic Series of the Caribbean
Hosted in the Early Cretaceous bimodal tholeiite volcanic series of the Los Ranchos Formation, the Doña Amanda and Cerro Kiosko deposits in the Bayaguana district represent significant Au, Cu, and Ag resources in the Cordillera Oriental of the Dominican Republic. At Doña Amanda, a dense stockwork of quartz-sulfide veins is hosted by volcanic rocks with intense transitional phyllic-advanced argillic and silicic hydrothermal alteration assemblages, indicating a high-sulfidation environment. Wavy quartz veins with central sutures and rims of pyrite + enargite + molybdenite + fahlore (B veins) are cut by planar quartz-pyrite D veins. Primary fluid inclusions in quartz from B veins (Th: 160°->400°C; salinity: 7.9-16.4 wt % NaCl equiv) are interpreted as porphyry-type fluids. Inclusion fluids in quartz of quartz-pyrite veins (Th: 125°-175°C; salinity: 4.8-12.2 wt % NaCl equiv), quartz from silicic altered wall rocks (Th: 150°-175°C; salinity: 8.3-13.9 wt % NaCl equiv), and late, distal calcite veins (Th: 120°-160°C; salinity: 5.0-13.3 wt % NaCl equiv) indicate limited mixing with more dilute fluids and rule out mixing with fresh meteoric water. In Cerro Kiosko, a swarm of fault-controlled massive chalcopyrite + enargite + bornite + fahlore D veins and lodes are hosted by rocks with pervasive kaolinite alteration after sericite. δ34S values of vein sulfides from both deposits are all close to −2¿ and consistent with a predominance of magmatic sulfur and sulfide deposition from an oxidizing magmatic fluid. These data are consistent with a transitional environment between a deeper porphyry Cu(-Mo) and an overlying high-sulfidation epithermal deposit. An Re-Os age (112.6 ± 0.4 Ma) for molybdenite from the Doña Amanda deposit places the porphyry-epithermal mineralization as Early Cretaceous, coeval with the Los Ranchos Formation host rocks and with the Pueblo Viejo deposit. New sensitive high-resolution ion microprobe U-Pb ages on zircons from plagioclase-phyric rhyolite domes in the Bayaguana district are consistent with porphyry-high-sulfidation epithermal mineralization occurring along the Los Ranchos Formation during tonalite batholith emplacement in the basaltic island-arc basement at ca. 118 to 112 Ma and finalization of felsic volcanism at ca. 110 to 107 Ma
Early computed tomography coronary angiography in adults presenting with suspected acute coronary syndrome:the RAPID-CTCA RCT
Abstract
Background
Acute coronary syndrome is a common medical emergency. The optimal strategy to investigate patients who are at intermediate risk of acute coronary syndrome has not been fully determined.
Objective
To investigate the role of early computed tomography coronary angiography in the investigation and treatment of adults presenting with suspected acute coronary syndrome.
Design
A prospective, multicentre, open, parallel-group randomised controlled trial with blinded end-point adjudication.
Setting
Thirty-seven hospitals in the UK.
Participants
Adults (aged ≥ 18 years) presenting to the emergency department, acute medicine services or cardiology department with suspected or provisionally diagnosed acute coronary syndrome and at least one of the following: (1) a prior history of coronary artery disease, (2) a cardiac troponin level > 99th centile and (3) an abnormal 12-lead electrocardiogram.
Interventions
Early computed tomography coronary angiography in addition to standard care was compared with standard care alone. Participants were followed up for 1 year.
Main outcome measure
One-year all-cause death or subsequent type 1 (spontaneous) or type 4b (stent thrombosis) myocardial infarction, measured as the time to such event adjudicated by two cardiologists blinded to the computerised tomography coronary angiography (CTCA) arm. Cost-effectiveness was estimated as the lifetime incremental cost per quality-adjusted life-year gained.
Results
Between 23 March 2015 and 27 June 2019, 1748 participants [mean age 62 years (standard deviation 13 years), 64% male, mean Global Registry Of Acute Coronary Events score 115 (standard deviation 35)] were randomised to receive early computed tomography coronary angiography (n = 877) or standard care alone (n = 871). The primary end point occurred in 51 (5.8%) participants randomised to receive computed tomography coronary angiography and 53 (6.1%) participants randomised to receive standard care (adjusted hazard ratio 0.91, 95% confidence interval 0.62 to 1.35; p = 0.65). Computed tomography coronary angiography was associated with a reduced use of invasive coronary angiography (adjusted hazard ratio 0.81, 95% confidence interval 0.72 to 0.92; p = 0.001) but no change in coronary revascularisation (adjusted hazard ratio 1.03, 95% confidence interval 0.87 to 1.21; p = 0.76), acute coronary syndrome therapies (adjusted odds ratio 1.06, 95% confidence interval 0.85 to 1.32; p = 0.63) or preventative therapies on discharge (adjusted odds ratio 1.07, 95% confidence interval 0.87 to 1.32; p = 0.52). Early computed tomography coronary angiography was associated with longer hospitalisations (median increase 0.21 days, 95% confidence interval 0.05 to 0.40 days) and higher mean total health-care costs over 1 year (£561 more per patient) than standard care.
Limitations
The principal limitation of the trial was the slower than anticipated recruitment, leading to a revised sample size, and the requirement to compromise and accept a larger relative effect size estimate for the trial intervention.
Future work
The potential role of computed tomography coronary angiography in selected patients with a low probability of obstructive coronary artery disease (intermediate or mildly elevated level of troponin) or who have limited access to invasive cardiac catheterisation facilities needs further prospective evaluation.
Conclusions
In patients with suspected or provisionally diagnosed acute coronary syndrome, computed tomography coronary angiography did not alter overall coronary therapeutic interventions or 1-year clinical outcomes, but it did increase the length of hospital stay and health-care costs. These findings do not support the routine use of early computed tomography coronary angiography in intermediate-risk patients with acute chest pain
Structural studies suggest aggregation as one of the modes of action for teixobactin
Teixobactin is a new promising antibiotic that targets cell wall biosynthesis by binding to lipid II and has no detectable resistance thanks to its unique but yet not fully understood mechanism of operation. To aid in the structure-based design of teixobactin analogues with improved pharmacological properties, we present a 3D structure of native teixobactin in membrane mimetics and characterise its binding to lipid II through a combination of solution NMR and fast (90 kHz) magic angle spinning solid state NMR. In NMR titrations, we observe a pattern strongly suggesting interactions between the backbone of the C-terminal “cage” and the pyrophosphate moiety in lipid II. We find that the N-terminal part of teixobactin does not only act as a membrane anchor, as previously thought, but is actively involved in binding. Moreover, teixobactin forms a well-structured and specific complex with lipid II, where the N-terminal part of teixobactin assumes a b conformation that is highly prone to aggregation, which likely contributes to the antibiotic's high bactericidal efficiency. Overall, our study provides several new clues to teixobactin's modes of action
Thinking like a man? The cultures of science
Culture includes science and science includes culture, but conflicts between the two traditions persist, often seen as clashes between interpretation and knowledge. One way of highlighting this false polarity has been to explore the gendered symbolism of science. Feminism has contributed to science studies and the critical interrogation of knowledge, aware that practical knowledge and scientific understanding have never been synonymous. Persisting notions of an underlying unity to scientific endeavour have often impeded rather than fostered the useful application of knowledge. This has been particularly evident in the recent rise of molecular biology, with its delusory dream of the total conquest of disease. It is equally prominent in evolutionary psychology, with its renewed attempts to depict the fundamental basis of sex differences. Wars over science have continued to intensify over the last decade, even as our knowledge of the political, economic and ideological significance of science funding and research has become ever more apparent
Constraining the recent mass balance of Pine Island and Thwaites glaciers, West Antarctica, with airborne observations of snow accumulation
In Antarctica, uncertainties in mass input and output translate directly into uncertainty in glacier mass balance and thus in sea level impact. While remotely sensed observations of ice velocity and thickness over the major outlet glaciers have improved our understanding of ice loss to the ocean, snow accumulation over the vast Antarctic interior remains largely unmeasured. Here, we show that an airborne radar system, combined with ice-core glaciochemical analysis, provide the means necessary to measure the accumulation rate at the catchment-scale along the Amundsen Sea coast of West Antarctica. We used along-track radar-derived accumulation to generate a 1985–2009 average accumulation grid that resolves moderate- to large-scale features (>25 km) over the Pine Island–Thwaites glacier drainage system. Comparisons with estimates from atmospheric models and gridded climatologies generally show our results as having less accumulation in the lower-elevation coastal zone but greater accumulation in the interior. Ice discharge, measured over discrete time intervals between 1994 and 2012, combined with our catchment-wide accumulation rates provide an 18-year mass balance history for the sector. While Thwaites Glacier lost the most ice in the mid-1990s, Pine Island Glacier's losses increased substantially by 2006, overtaking Thwaites as the largest regional contributor to sea-level rise. The trend of increasing discharge for both glaciers, however, appears to have leveled off since 2008
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