361 research outputs found
An evaluation of the stimulants and impediments to innovation within PFI/PPP projects
This paper identifies the theoretical stimulants and impediments associated with the implementation of PFI/PPP (Private Finance Initiative/Public Private Partnership) projects. A current defect of this procurement approach is the unintentional constraint upon the innovations incorporated into the development of PFI projects. A critical evaluation of the published literature has been utilized to synthesize a theoretical model. The paper proposes a theoretical model for the identification of potential innovation stimulants and impediments within this type of procurement. This theoretical model is then utilised to evaluate four previously completed PFI projects. These project case-studies have been examined in detail. The evaluation demonstrates how ineffective current procedures are. The application of this model before project letting could eliminate unintentional constraints and stimulate improved innovation within the process. The implementation of the model could improve the successful delivery of innovation within the entire PFI/PPP procurement process
Can cartilage loss be detected in knee osteoarthritis (OA) patients with 3â6 months' observation using advanced image analysis of 3T MRI?
SummaryPurposePrior investigations of magnetic resonance imaging (MRI) biomarkers of cartilage loss in knee osteoarthritis (OA) suggest that trials of interventions which affect this biomarker with adequate statistical power would require large clinical studies of 1â2 years duration. We hypothesized that smaller, shorter duration, âProof of Conceptâ (PoC) studies might be achievable by: (1) selecting a population at high risk of rapid medial tibio-femoral (TF) progression, in conjunction with; (2) high-field MRI (3T), and; (3) using advanced image analysis. The primary outcome was the cartilage thickness in the central medial femur.MethodsMulti-centre, non-randomized, observational cohort study at four sites in the US. Eligible participants were females with knee pain, a body mass index (BMI)âĽ25kg/m2, symptomatic radiographic evidence of medial TF OA, and varus mal-alignment. The 29 participants had a mean age of 62 years, mean BMI of 36kg/m2, with eight index knees graded as KellgrenâLawrence (K&L)=2 and 21 as K&L=3. Eligible participants had four MRI scans of one knee: two MRIs (1 week apart) were acquired as a baseline with follow-up MRI at 3 and 6 months. A trained operator, blind to time-point but not subject, manually segmented the cartilage from the Dual Echo Steady State water excitation MR images. Anatomically corresponding regions of interest were identified on each image by using a three-dimensional statistical shape model of the endosteal bone surface, and the cartilage thickness (with areas denuded of cartilage included as having zero thickness â ThCtAB) within each region was calculated. The percentage change from baseline at 3 and 6 months was assessed using a log-scale analysis of variance (ANOVA) model including baseline as a covariate. The primary outcome was the change in cartilage thickness within the aspect of central medial femoral condyle exposed within the meniscal window (w) during articulation, neglecting cartilage edges [nuclear (n)] (nwcMF¡ThCtAB), with changes in other regions considered as secondary endpoints.ResultsAnatomical mal-alignment ranged from â1.9° to 6.3°, with mean 0.9°. With one exception, no changes in ThCtAB were detected at the 5% level for any of the regions of interest on the TF joint at 3 or 6 months of follow-up. The change in the primary variable (nwcMF¡ThCtAB) from (mean) baseline at 3 months from the log-scale ANOVA model was â2.1% [95% confidence interval (CI) (â4.4%, +0.2%)]. The change over 6 months was 0.0% [95% CI (â2.7%, +2.8%)]. The 95% CI for the change from baseline did not include zero for the cartilage thickness within the meniscal window of the lateral tibia (wLT¡ThCtAB) at 6 month follow-up (â1.5%, 95% CI [â2.9, â0.2]), but was not significant at the 5% level after correction for multiple comparisons.ConclusionsThe small inconsistent compartment changes, and the relatively high variabilities in cartilage thickness changes seen over time in this study, provide no additional confidence for a 3- or 6-month PoC study using a patient population selected on the basis of risk for rapid progression with the MRI acquisition and analyses employed
Sostdc1: A soluble BMP and Wnt antagonist that is induced by the interaction between myeloma cells and osteoblast lineage cells
Multiple myeloma (MM) is characterised by destructive lytic bone disease, caused by induction of bone resorption and impaired bone formation. Our understanding of the molecular mechanisms responsible for osteoblast suppression, are limited. Using the 5T2MM murine model of MM we have previously shown that suppression of the activity of a known inhibitor of bone formation Dikkopf-1 (Dkk1) prevents the development of lytic bone disease. Here we have demonstrated that another potential inhibitor of bone formation, sclerostin domain containing 1 (Sostdc1) is expressed at low levels in MM and osteoblast lineage cells when these cells are grown separately in cell culture but its expression is significantly induced in both cell types when these cells are in contact. The distribution of Sostdc1 staining in bones infiltrated with 5TGM1 myeloma cells in vivo suggested its presence in both myeloma and osteoblast lineage populations when in close proximity. We have also shown that recombinant Sostdc1 inhibits both bone morphogenic proteins (BMP2 and 7) and Wnt signalling in primary osteoblasts and suppresses differentiation of these cells. Together, these findings suggest that Sostdc1 expression in 5TGM1-infiltrated bones as a result of the interaction between myeloma and osteoblast lineage populations, could result in suppression of osteoblast differentiation
Prevalence and correlates of respiratory and non-respiratory panic attacks in the general population
Nest and foragingâsite selection in Yellowhammers Emberiza citrinella: implications for chick provisioning
Capsule Vegetation structure and invertebrate abundance interact to influence both foraging sites and
nestling provisioning rate; when invertebrate availability is low, adults may take greater risks to provide
food for their young.
Aims To investigate nesting and foraging ecology in a declining farmland bird whose fledging success
is influenced by the availability of invertebrate prey suitable for feeding to offspring, and where perceived
predation risk during foraging can be mediated by vegetation structure.
Methods Provisioning rates of adult Yellowhammers feeding nestlings were measured at nests on arable
farmland. Foraging sites were compared with control sites of both the same and different microhabitats;
provisioning rate was related to habitat features of foraging-sites.
Results Foraging sites had low vegetation density, probably enhancing detection of predators, or high
invertebrate abundance at high vegetation density. Parental provisioning rate decreased with increasing
vegetation cover at foraging sites with high invertebrate abundance; conversely, where invertebrate
abundance was low, provisioning rate increased with increasing vegetation cover.
Conclusions Vegetation structure at foraging sites suggests that a trade-off between predator detection
and prey availability influences foraging site selection in Yellowhammers. Associations between parental
provisioning rate and vegetation variables suggest that where invertebrate abundance is high birds
increase time spent scanning for predators at higher vegetation densities; however, when prey are scarce,
adults may take more risks to provide food for their young
Industry concentration and strategic trade policy in successive oligopoly
We study a policy game between exporting and importing countries in vertically linked industries. In a successive international Cournot oligopoly, we analyse incentives for using tax instruments strategically to shift rents vertically, between exporting and importing countries, and horizontally, between exporting countries. We show that the equilibrium outcome depends crucially on the relative degree of competitiveness in the upstream and downstream parts of the industry. With respect to national welfare, a more competitive upstream industry may benefit an exporting (upstream) country and harm an importing (downstream) country. On the other hand, a more competitive downstream industry may harm exporting countries.Financial support from the Norwegian Research Council, through the PETROPOL research programme, is gratefully acknowledged. The paper has been greatly improved by the suggestions of two anonymous referees. We also thank Hisashi Hokari and Frode Meland for valuable comments and suggestions
Influence of Dietary Oil Content and Conjugated Linoleic Acid (CLA) on Lipid Metabolism Enzyme Activities and Gene Expression in Tissues of Atlantic Salmon (Salmo salar L.)
The overall objective is to test the hypothesis that conjugated linoleic acid (CLA) has beneficial effects in Atlantic salmon through affecting lipid and fatty acid metabolism. The specific aims of the present study were to determine the effects of CLA on some key pathways of fatty acid metabolism including fatty acid oxidation and highly unsaturated fatty acid (HUFA) synthesis. Salmon smolts were fed diets containing two levels of fish oil (low, ~18% and high, ~34%) containing three levels of CLA (a 1:1 mixture of 9-cis,trans-11 and trans-10,cis-12 at 0, 1 and 2% of diet) for 3 months. The effects of dietary CLA on HUFA synthesis and β-oxidation were measured and the expression of key genes in the fatty acid oxidation and HUFA synthesis pathways, and potentially important transcription factors, peroxisome proliferators activated receptors (PPARs), determined in selected tissues. Liver HUFA synthesis and desaturase gene expression was increased by dietary CLA and decreased by high dietary oil content. Carnitine palmitoyltransferase-I (CPT-I) activity and gene expression were generally increased by CLA in muscle tissues although dietary oil content had relatively little effect. In general CPT-I activity or gene expression was not correlated with β-oxidation. Dietary CLA tended to increase PPARι and β gene expression in both liver and muscle tissues, and PPARγ in liver. In summary, gene expression and activity of the fatty acid pathways were altered in response to dietary CLA and/or oil content, with data suggesting that PPARs are also regulated in response to CLA. Correlations were observed between dietary CLA, liver HUFA synthesis and desaturase gene expression, and liver PPARι expression, and also between dietary CLA, CPT-I expression and activity, and PPARι expression in muscle tissues. In conclusion, this study suggests that dietary CLA has effects on fatty acid metabolism in Atlantic salmon and on PPAR transcription factors. However, further work is required to assess the potential of CLA as a dietary supplement, and the role of PPARs in the regulation of lipid metabolism in fish
Direct Numerical Simulation of Turbulent Heat Transfer Modulation in Micro-Dispersed Channel Flow
The object of this paper is to study the influence of dispersed micrometer
size particles on turbulent heat transfer mechanisms in wall-bounded flows. The
strategic target of the current research is to set up a methodology to size and
design new-concept heat transfer fluids with properties given by those of the
base fluid modulated by the presence of dynamically-interacting,
suitably-chosen, discrete micro- and nano- particles. We run Direct Numerical
Simulation (DNS) for hydrodynamically fully-developed, thermally-developing
turbulent channel flow at shear Reynolds number Re=150 and Prandtl number Pr=3,
and we tracked two large swarms of particles, characterized by different
inertia and thermal inertia. Preliminary results on velocity and temperature
statistics for both phases show that, with respect to single-phase flow, heat
transfer fluxes at the walls increase by roughly 2% when the flow is laden with
the smaller particles, which exhibit a rather persistent stability against
non-homogeneous distribution and near-wall concentration. An opposite trend
(slight heat transfer flux decrease) is observed when the larger particles are
dispersed into the flow. These results are consistent with previous
experimental findings and are discussed in the frame of the current research
activities in the field. Future developments are also outlined.Comment: Pages: 305-32
Stable isotope food-web analysis and mercury biomagnification in polar bears ( Ursus maritimus )
Mercury (Hg) biomagnification occurs in many ecosystems, resulting in a greater potential for toxicological effects in higher-level trophic feeders. However, Hg transport pathways through different food-web channels are not well known, particularly in high-latitude systems affected by the atmospheric Hg deposition associated with snow and ice. Here, we report on stable carbon and nitrogen isotope ratios, and Hg concentrations, determined for 26, late 19th and early 20th century, polar bear ( Ursus maritimus ) hair specimens, collected from catalogued museum collections. These data elucidate relationships between the high-latitude marine food-web structure and Hg concentrations in polar bears. The carbon isotope compositions of polar bear hairs suggest that polar bears derive nutrition from coupled food-web channels, based in pelagic and sympagic primary producers, whereas the nitrogen isotope compositions indicate that polar bears occupy > fourth-level trophic positions. Our results show a positive correlation between polar bear hair Hg concentrations and δ 15 N. Interpretation of the stable isotope data in combination with Hg concentrations tentatively suggests that polar bears participating in predominantly pelagic food webs exhibit higher mercury concentrations than polar bears participating in predominantly sympagic food webs.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/73930/1/j.1751-8369.2009.00114.x.pd
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