352 research outputs found
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Removal of a Wire Brush Bristle from the Hypopharynx Using Suspension, Microscope, and Fluoroscopy
Wire brush bristles are an increasingly recognized hazard that can present as a foreign body in the aerodigestive tract. Due to their small size and tendency to become embedded in surrounding tissue, these small metallic bristles present a unique operative challenge to otolaryngologists. Here we present a case of a 40-year-old woman who underwent endoscopic extraction of a wire bristle from the posterior pharyngeal wall using suspension, microscopy, and C-arm fluoroscopy. We believe this is the first published case of an endoscopic removal of a buried foreign body in the hypopharynx using these methods of localization concurrently. By leveraging multiple techniques for visualization, surgeons can avoid open exploration while ensuring complete removal of the object. Additionally, this case highlights the importance of regulatory oversight and consumer awareness of the hazards of grill brushes
Methadone-induced mortality in the treatment of chronic pain: Role of QT prolongation
Methadone is increasingly prescribed for chronic pain, yet the associated mortality appears to be
rising disproportionately relative to other opioid analgesics. We review the available evidence on
methadone-associated mortality, and explore potential pharmacokinetic and pharmacodynamic
explanations for its greater apparent lethality. While methadone shares properties of central
nervous system and respiratory depression with other opioids, methadone is unique as a potent
blocker of the delayed rectifier potassium ion channel (IKr). This results in QT-prolongation
and torsade de pointes (TdP) in susceptible individuals. In some individuals with low serum
protein binding of methadone, the extent of blockade is roughly comparable to that of sotalol,
a potent QT-prolonging drug. Predicting an individual’s propensity for methadone-induced
TdP is difficult at present given the inherent limitations of the QT interval as a risk-stratifier
combined with the multifactorial nature of the arrhythmia. Consensus recommendations have
recently been published to mitigate the risk of TdP until further studies better define the
arrhythmia risk factors for methadone. Studies are needed to provide insights into the clinical
covariates most likely to result in methadone-associated arrhythmia and to assess the feasibility
of current risk mitigation strategies
Central Powering of the Largest Lyman-alpha Nebula is Revealed by Polarized Radiation
High-redshift Lyman-alpha blobs are extended, luminous, but rare structures
that appear to be associated with the highest peaks in the matter density of
the Universe. Their energy output and morphology are similar to powerful radio
galaxies, but the source of the luminosity is unclear. Some blobs are
associated with ultraviolet or infrared bright galaxies, suggesting an extreme
starburst event or accretion onto a central black hole. Another possibility is
gas that is shock excited by supernovae. However some blobs are not associated
with galaxies, and may instead be heated by gas falling into a dark matter
halo. The polarization of the Ly-alpha emission can in principle distinguish
between these options, but a previous attempt to detect this signature returned
a null detection. Here we report on the detection of polarized Ly-alpha from
the blob LAB1. Although the central region shows no measurable polarization,
the polarized fraction (P) increases to ~20 per cent at a radius of 45 kpc,
forming an almost complete polarized ring. The detection of polarized radiation
is inconsistent with the in situ production of Ly-alpha photons, and we
conclude that they must have been produced in the galaxies hosted within the
nebula, and re-scattered by neutral hydrogen.Comment: Published in the August 18 issue of Nature. 1750 words, 3 figures,
and full Supplementary Information. Version has not undergone proofing.
Reduced and processed data products are available here:
http://obswww.unige.ch/people/matthew.hayes/LymanAlpha/LabPol
Pattern Transfer of Sub-10 nm Features via Tin-Containing Block Copolymers
Tin-containing block copolymers were investigated as materials for nanolithographic applications. Poly(4-trimethylstannylstyrene-block-styrene) (PSnS-PS) and poly(4-trimethylstannylstyrene-block-4-methoxystyrene) (PSnS-PMOST) synthesized by reversible addition–fragmentation chain transfer polymerization form lamellar domains with periodicities ranging from 18 to 34 nm. Thin film orientation control was achieved by thermal annealing between a neutral surface treatment and a top coat. Incorporation of tin into one block facilitates pattern transfer into SiO_2 via a two-step etch process utilizing oxidative and fluorine-based etch chemistries
Evolution of opinions on social networks in the presence of competing committed groups
Public opinion is often affected by the presence of committed groups of
individuals dedicated to competing points of view. Using a model of pairwise
social influence, we study how the presence of such groups within social
networks affects the outcome and the speed of evolution of the overall opinion
on the network. Earlier work indicated that a single committed group within a
dense social network can cause the entire network to quickly adopt the group's
opinion (in times scaling logarithmically with the network size), so long as
the committed group constitutes more than about 10% of the population (with the
findings being qualitatively similar for sparse networks as well). Here we
study the more general case of opinion evolution when two groups committed to
distinct, competing opinions and , and constituting fractions and
of the total population respectively, are present in the network. We show
for stylized social networks (including Erd\H{o}s-R\'enyi random graphs and
Barab\'asi-Albert scale-free networks) that the phase diagram of this system in
parameter space consists of two regions, one where two stable
steady-states coexist, and the remaining where only a single stable
steady-state exists. These two regions are separated by two fold-bifurcation
(spinodal) lines which meet tangentially and terminate at a cusp (critical
point). We provide further insights to the phase diagram and to the nature of
the underlying phase transitions by investigating the model on infinite
(mean-field limit), finite complete graphs and finite sparse networks. For the
latter case, we also derive the scaling exponent associated with the
exponential growth of switching times as a function of the distance from the
critical point.Comment: 23 pages: 15 pages + 7 figures (main text), 8 pages + 1 figure + 1
table (supplementary info
Structure and properties of densified silica glass: characterizing the order within disorder
世界一構造秩序のあるガラスの合成と構造解析に成功 --ガラスの一見無秩序な構造の中に潜む秩序を抽出--. 京都大学プレスリリース. 2021-12-25.The broken symmetry in the atomic-scale ordering of glassy versus crystalline solids leads to a daunting challenge to provide suitable metrics for describing the order within disorder, especially on length scales beyond the nearest neighbor that are characterized by rich structural complexity. Here, we address this challenge for silica, a canonical network-forming glass, by using hot versus cold compression to (i) systematically increase the structural ordering after densification and (ii) prepare two glasses with the same high-density but contrasting structures. The structure was measured by high-energy X-ray and neutron diffraction, and atomistic models were generated that reproduce the experimental results. The vibrational and thermodynamic properties of the glasses were probed by using inelastic neutron scattering and calorimetry, respectively. Traditional measures of amorphous structures show relatively subtle changes upon compacting the glass. The method of persistent homology identifies, however, distinct features in the network topology that change as the initially open structure of the glass is collapsed. The results for the same high-density glasses show that the nature of structural disorder does impact the heat capacity and boson peak in the low-frequency dynamical spectra. Densification is discussed in terms of the loss of locally favored tetrahedral structures comprising oxygen-decorated SiSi4 tetrahedra
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A synthesis is emerging between biodiversity–ecosystem function and ecological resilience research: reply to Mori
Letter
Resequencing of genes for transforming growth factor β1 (TGFB1) type 1 and 2 receptors (TGFBR1, TGFBR2), and association analysis of variants with diabetic nephropathy
BACKGROUND: Diabetic nephropathy is the leading cause of end stage renal failure in the western world. There is substantial epidemiological evidence supporting a genetic predisposition to diabetic nephropathy, however the exact molecular mechanisms remain unknown. Transforming growth factor (TGFβ1) is a crucial mediator in the pathogenesis of diabetic nephropathy. METHODS: We investigated the role of five known single nucleotide polymorphisms (SNPs) in the TGFB1 gene for their association with diabetic nephropathy in an Irish, type 1 diabetic case (n = 272) control (n = 367) collection. The activity of TGFβ1 is facilitated by the action of type 1 and type 2 receptors, with both receptor genes (TGFBR1 and TGFBR2) shown to be upregulated in diabetic kidney disease. We therefore screened TGFBR1 and TGFBR2 genes for genomic variants using WAVE™ (dHPLC) technology and confirmed variants by direct capillary sequencing. Allele frequencies were determined in forty-eight healthy individuals. Data for all SNPs was assessed for Hardy Weinberg equilibrium, with genotypes and allele frequencies compared using the χ(2 )test for contingency tables. Patterns of linkage disequilibrium were established and common haplotypes estimated. RESULTS: Fifteen variants were identified in these genes, seven of which are novel, and putatively functional SNPs were subsequently genotyped using TaqMan™, Invader™ or Pyrosequencing(® )technology. No significant differences (p > 0.1) were found in genotype or allele distributions between cases and controls for any of the SNPs assessed. CONCLUSION: Our results suggest common variants in TGFB1, TGFBR1 and TGFBR2 genes do not strongly influence genetic susceptibility to diabetic nephropathy in an Irish Caucasian population
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