2,025 research outputs found
Distance learning on surgical material sterilization processes
This study had the following goals: describing the development of a distance learning (DL) course on Surgical Material Sterilization Processes, to be given over the Internet; having the course evaluated by specialists in sterilization processes and in DL; describing students' and evaluators' profiles, and to evaluate the students' participation and their opinions about the course. The chosen course environment was TelEduc, and the teaching method was Case-Based Learning. The target population consisted of nurses from the greater Campinas area and other cities of the state of Sao Paulo. Fifty-eight nurses were invited, 14 were enrolled and 11 finished the course. The course was evaluated by specialists before and after its application. In order to evaluate the students' opinion of the course, a Likert questionnaire was used. The Case-Based Learning methodology helped student participation and the course was evaluated positively.42469470
Presubiculum stimulation in vivo evokes distinct oscillations in superficial and deep entorhinal cortex layers in chronic epileptic rats
The characteristic cell loss in layer III of the medial entorhinal area (MEA-III) in human mesial temporal lobe epilepsy is reproduced in the rat kainate model of the disease. To understand how this cell loss affects the functional properties of the MEA, we investigated whether projections from the presubiculum (prS), providing a main input to the MEA-III, are altered in this epileptic rat model. Injections of an anterograde tracer in the prS revealed bilateral projection fibers mainly to the MEA-III in both control and chronic epileptic rats. We further examined the prS-MEA circuitry using a 16-channel electrode probe covering the MEA in anesthetized control and chronic epileptic rats. With a second 16-channel probe, we recorded signals in the hippocampus. Current source density analysis indicated that, after prS double-pulse stimulation, afterdischarges in the form of oscillations (20-45 Hz) occurred that were confined to the superficial layers of the MEA in all epileptic rats displaying MEA-III neuronal loss. Slower oscillations (theta range) were occasionally observed in the deep MEA layers and the dentate gyrus. This kind of oscillation was never observed in control rats. We conclude that dynamical changes occur in an extensive network within the temporal lobe in epileptic rats, manifested as different kinds of oscillations, the characteristics of which depend on local properties of particular subareas. These findings emphasize the significance of the entorhinal cortex in temporal lobe epilepsy and suggest that the superficial cell layers could play an important role in distributing oscillatory activity.status: publishe
Higher Derivative Extension of 6D Chiral Gauged Supergravity
Six-dimensional (1,0) supersymmetric gauged Einstein-Maxwell supergravity is
extended by the inclusion of a supersymmetric Riemann tensor squared invariant.
Both the original model as well as the Riemann tensor squared invariant are
formulated off-shell and consequently the total action is off-shell invariant
without modification of the supersymmetry transformation rules. In this
formulation, superconformal techniques, in which the dilaton Weyl multiplet
plays a crucial role, are used. It is found that the gauging of the U(1)
R-symmetry in the presence of the higher-order derivative terms does not modify
the positive exponential in the dilaton potential. Moreover, the supersymmetric
Minkowski(4) x S^2 compactification of the original model, without the
higher-order derivatives, is remarkably left intact. It is shown that the model
also admits non-supersymmetric vacuum solutions that are direct product spaces
involving de Sitter spacetimes and negative curvature internal spaces.Comment: 32 pages; typos corrected, footnote in conclusions section adde
The Analyticity of a Generalized Ruelle's Operator
In this work we propose a generalization of the concept of Ruelle operator
for one dimensional lattices used in thermodynamic formalism and ergodic
optimization, which we call generalized Ruelle operator, that generalizes both
the Ruelle operator proposed in [BCLMS] and the Perron Frobenius operator
defined in [Bowen]. We suppose the alphabet is given by a compact metric space,
and consider a general a-priori measure to define the operator. We also
consider the case where the set of symbols that can follow a given symbol of
the alphabet depends on such symbol, which is an extension of the original
concept of transition matrices from the theory of subshifts of finite type. We
prove the analyticity of the Ruelle operator and present some examples
DWSB in heterotic flux compactifications
We address the construction of non-supersymmetric vacua in heterotic
compactifications with intrinsic torsion and background fluxes. In particular,
we implement the approach of domain-wall supersymmetry breaking (DWSB)
previously developed in the context of type II flux compactifications. This
approach is based on considering backgrounds where probe NS5-branes wrapping
internal three-cycles and showing up as four-dimensional domain-walls do not
develop a BPS bound, while all the other BPS bounds characterizing the N=1
supersymmetric compactifications are preserved at tree-level. Via a scalar
potential analysis we provide the conditions for these backgrounds to solve the
ten-dimensional equations of motion including order \alpha' corrections. We
also consider backgrounds where some of the NS5-domain-walls develop a BPS
bound, show their relation to no-scale SUSY-breaking vacua and construct
explicit examples via elliptic fibrations. Finally, we consider backgrounds
with a non-trivial gaugino condensate and discuss their relation to
supersymmetric and non-supersymmetric vacua in the present context.Comment: 56 pages, 1 figur
Base resolution maps reveal the importance of 5-hydroxymethylcytosine in a human glioblastoma
Aberrant genetic and epigenetic variations drive malignant transformation and are hallmarks of cancer. Using PCR-free sample preparation we achieved the first in-depth whole genome (hydroxyl)-methylcytosine, single-base-resolution maps from a glioblastoma tumour/margin sample of a patient. Our data provide new insights into how genetic and epigenetic variations are interrelated. In the tumour, global hypermethylation with a depletion of 5-hydroxymethylcytosine was observed. The majority of single nucleotide variations were identified as cytosine-to-thymine deamination products within CpG context, where cytosine was preferentially methylated in the margin. Notably, we observe that cells neighbouring tumour cells display epigenetic alterations characteristic of the tumour itself although genetically they appear “normal”. This shows the potential transfer of epigenetic information between cells that contributes to the intratumour heterogeneity of glioblastoma. Together, our reference (epi)-genome provides a human model system for future studies that aim to explore the link between genetic and epigenetic variations in cancer progression.Cancer Research UK 236 (Grant ID: C14303/A17197), Wellcome Trust (Grant ID: 099232/z/12/z
Long-term risk of mortality after acute kidney injury in patients with sepsis: a contemporary analysis
<p>Abstract</p> <p>Background</p> <p>Acute kidney injury (AKI) is associated with increased short-term mortality of septic patients; however, the exact influence of AKI on long-term mortality in such patients has not yet been determined.</p> <p>Methods</p> <p>We retrospectively evaluated the impact of AKI, defined by the "Risk, Injury, Failure, Loss of kidney function, End-stage kidney disease" (RIFLE) classification based on creatinine criteria, on 2-year mortality in a cohort of 234 hospital surviving septic patients who had been hospitalized at the Infectious Disease Intensive Care Unit of our Hospital.</p> <p>Results</p> <p>Mean-follow-up was 21 ± 6.4 months. During this period, 32 patients (13.7%) died. At 6 months, 1 and 2 years of follow-up, the cumulative probability of death of patients with previous AKI was 8.3, 16.9 and 34.2%, respectively, as compared with 2.2, 6 and 8.9% in patients without previous AKI (log-rank, P < 0.0001). In the univariate analysis, age (hazard ratio 1.4, 95% CI 1.2-1.7, P < 0.0001), as well as pre-existing cardiovascular disease (hazard ratio 3.6, 95% CI 1.4-9.4, P = 0.009), illness severity as evaluated by nonrenal APACHE II (hazard ratio 1.3, 95% CI 1.1-1.6, P = 0.002), and previous AKI (hazard ratio 4.2, 95% CI 2.1-8.5, P < 0.0001) were associated with increased 2-year mortality, while gender, race, pre-existing hypertension, cirrhosis, HIV infection, neoplasm, and baseline glomerular filtration rate did not. In the multivariate analysis, however, only previous AKI (hazard ratio 3.2, 95% CI 1.6-6.5, P = 0.001) and age (hazard ratio 1.4, 95% CI 1.2-1.6, P < 0.0001) emerged as independent predictors of 2-year mortality.</p> <p>Conclusions</p> <p>Acute kidney injury had a negative impact on long-term mortality of patients with sepsis.</p
Heterotic Black Horizons
We show that the supersymmetric near horizon geometry of heterotic black
holes is either an AdS_3 fibration over a 7-dimensional manifold which admits a
G_2 structure compatible with a connection with skew-symmetric torsion, or it
is a product R^{1,1} * S^8, where S^8 is a holonomy Spin(7) manifold,
preserving 2 and 1 supersymmetries respectively. Moreover, we demonstrate that
the AdS_3 class of heterotic horizons can preserve 4, 6 and 8 supersymmetries
provided that the geometry of the base space is further restricted. Similarly
R^{1,1} * S^8 horizons with extended supersymmetry are products of R^{1,1} with
special holonomy manifolds. We have also found that the heterotic horizons with
8 supersymmetries are locally isometric to AdS_3 * S^3 * T^4, AdS_3 * S^3 * K_3
or R^{1,1} * T^4 * K_3, where the radii of AdS_3 and S^3 are equal and the
dilaton is constant.Comment: 35 pages, latex. Minor alterations to equation (3.11) and section
4.1, the conclusions are not affecte
The Two Faces of Anomaly Mediation
Anomaly mediation is a ubiquitous source of supersymmetry (SUSY) breaking
which appears in almost every theory of supergravity. In this paper, we show
that anomaly mediation really consists of two physically distinct phenomena,
which we dub "gravitino mediation" and "Kahler mediation". Gravitino mediation
arises from minimally uplifting SUSY anti-de Sitter (AdS) space to Minkowski
space, generating soft masses proportional to the gravitino mass. Kahler
mediation arises when visible sector fields have linear couplings to SUSY
breaking in the Kahler potential, generating soft masses proportional to beta
function coefficients. In the literature, these two phenomena are lumped
together under the name "anomaly mediation", but here we demonstrate that they
can be physically disentangled by measuring associated couplings to the
goldstino. In particular, we use the example of gaugino soft masses to show
that gravitino mediation generates soft masses without corresponding goldstino
couplings. This result naively violates the goldstino equivalence theorem but
is in fact necessary for supercurrent conservation in AdS space. Since
gravitino mediation persists even when the visible sector is sequestered from
SUSY breaking, we can use the absence of goldstino couplings as an unambiguous
definition of sequestering.Comment: 21 pages, 1 table; v2, references added, extended discussion in
introduction and appendix; v3, JHEP versio
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