Can your arthritis patients get to the tablets? A study of medicine bottle opening

There has been increasing interest recently in the presentation and packaging of drugs for elderly patients and the manufacture of child-proof containers. This had led to the development of specially designed bottles or blister packs now commonly used fur over the counter analgesic preparations. Rheumatoid arthritis and osteoarthrosis are common diseases and many patients suffering from these diseases develop considerable deformities of the hand leading to an inability to perform activities of daily living. In a previous study (Mason et. al.) 200 patients with rheumatoid arthritis were shown to have difficulty in opening child-proof containers. In this study we decided to include patients with osteoarthrosis as well and to test the ability of both rheumatoid and osteoarthritic patients to open blister packs as well as child-proof containers

Spectroscopic observation of resonant electric dipole-dipole interactions between cold Rydberg atoms

Resonant electric dipole-dipole interactions between cold Rydberg atoms were observed using microwave spectroscopy. Laser-cooled Rb atoms in a magneto-optical trap were optically excited to 45d Rydberg states using a pulsed laser. A microwave pulse transferred a fraction of these Rydberg atoms to the 46p state. A second microwave pulse then drove atoms in the 45d state to the 46d state, and was used as a probe of interatomic interactions. The spectral width of this two-photon probe transition was found to depend on the presence of the 46p atoms, and is due to the resonant electric dipole-dipole interaction between 45d and 46p Rydberg atoms.Comment: 5 pages, 3 figures. Accepted for publication in Phys. Rev. Lett. Titles and e-print numbers of references added to this versio

What are children's trusts? Early findings from a national survey

<i>Background:</i> The Children Act 2004 and National Service Framework for Children, Young People and Maternity Services require fuller integration of health, education and social services for children and young people in England and Wales. The UK government supported the establishment of 35 experimental children's trust pathfinders (henceforth called children's trusts) in England. <i>Methods:</i> A questionnaire was completed by managers in all 35 children's trusts a year after their start. Children's trust documents were examined. Census and performance indicators were compared between children's trust areas and the rest of England. <i>Results</i> Children's trust areas had demographic and social characteristics typical of England. All children's trusts aimed to improve health, education and social services by greater managerial and service integration. All had boards representing the three sectors; other agencies’ representation varied. Two-thirds of children's trusts had moved towards pooling budgets in at least some service areas. At this stage in their development, some had prioritized joint procurement or provision of services, with formal managerial structures, while others favoured an informal strategic planning, co-ordination and information sharing approach. The commonest priorities for services development were for disabled children (16 children's trusts), followed by early intervention (11) and mental health services (8). <i>Conclusions:</i> The diverse strategies adopted by these 35 children's trusts during their first year is due to their own characteristics and to the way government strategy developed during this period. Whilst some prioritized organizational development, joint financing and commissioning, and information sharing, others laid more emphasis on mechanisms for bringing front-line professionals closer together. Their experiences are of value to others deciding how best to integrate children's services

Sediment-rich meltwater plumes and ice-proximal fans at the margins of modern and ancient tidewater glaciers: Observations and modeling

Turbid meltwater plumes and ice-proximal fans occur where subglacial streams reach the grounded marine margins of modern and ancient tidewater glaciers. However, the spacing and temporal stability of these subglacial channels is poorly understood. This has significant implications for understanding the geometry and distribution of Quaternary and ancient ice-proximal fans that can form important aquifers and hydrocarbon reservoirs. Remote-sensing and numerical-modelling techniques are applied to the 200 km-long marine margin of a Svalbard ice cap, Austfonna, to quantify turbid meltwaterplume distribution and predict its temporal stability. Results are combined with observations from geophysical data close to the modern ice front to refine existing depositional models for ice-proximal fans. Plumes are spaced about 3 km apart and their distribution along the ice front is stable over decades. Numerical modelling also predicts the drainage pattern and meltwater discharge beneath the ice cap; modelled water-routing patterns are in reasonable agreement with satellite-mapped plume locations. However, glacial retreat of several kilometres over the past 40 years has limited build-up of significant ice-proximal fans. A single fan and moraine ridge is noted from marine-geophysical surveys. Closer to the ice front there are smaller recessional moraines and polygonal sediment lobes but no identifiable fans. Schematic models of ice-proximal deposits represent varying glacierterminus stability: (i) stable terminus where meltwater sedimentation produces an ice-proximal fan; (ii) quasi-stable terminus, where glacier readvance pushes or thrusts up ice-proximal deposits into a morainal bank; (iii) retreating terminus, with short still-stands, allowing only small sediment lobes to build up at melt-stream portals. These modern investigations are complemented with outcrop and subsurface observations and numerical modelling of an ancient, Ordovician glacial system. Thick turbidite successions and large fans in the Late Ordovician suggest either high-magnitude events or sustained high discharge, consistent with a relatively mild palaeo-glacial setting.We thank BP Algeria for sponsorship, Ed Jones and Liz Jolley of BP for supporting the project.This is the accepted manuscript. The final published version is available from Wiley at http://dx.doi.org/10.1111/sed.1219

Chromosome-scale genome assemblies of aphids reveal extensively rearranged autosomes and long-term conservation of the X chromosome

Chromosome rearrangements are arguably the most dramatic type of mutations, often leading to rapid evolution and speciation. However, chromosome dynamics have only been studied at the sequence level in a small number of model systems. In insects, Diptera and Lepidoptera have conserved genome structure at the scale of whole chromosomes or chromosome arms. Whether this reflects the diversity of insect genome evolution is questionable given that many species exhibit rapid karyotype evolution. Here, we investigate chromosome evolution in aphids-an important group of hemipteran plant pests-using newly generated chromosome-scale genome assemblies of the green peach aphid (Myzus persicae) and the pea aphid (Acyrthosiphon pisum), and a previously published assembly of the corn-leaf aphid (Rhopalosiphum maidis). We find that aphid autosomes have undergone dramatic reorganization over the last 30 My, to the extent that chromosome homology cannot be determined between aphids from the tribes Macrosiphini (Myzus persicae and Acyrthosiphon pisum) and Aphidini (Rhopalosiphum maidis). In contrast, gene content of the aphid sex (X) chromosome remained unchanged despite rapid sequence evolution, low gene expression, and high transposable element load. To test whether rapid evolution of genome structure is a hallmark of Hemiptera, we compared our aphid assemblies with chromosome-scale assemblies of two blood-feeding Hemiptera (Rhodnius prolixus and Triatoma rubrofasciata). Despite being more diverged, the blood-feeding hemipterans have conserved synteny. The exceptional rate of structural evolution of aphid autosomes renders them an important emerging model system for studying the role of large-scale genome rearrangements in evolution

Economics methods in Cochrane systematic reviews of health promotion and public health related interventions.

Peer reviewedPublisher PD

Inhibition of αvβ5 Integrin Attenuates Vascular Permeability and Protects against Renal Ischemia-Reperfusion Injury

Ischemia-reperfusion injury (IRI) is a leading cause of AKI. This common clinical complication lacks effective therapies and can lead to the development of CKD. The αvβ5 integrin may have an important role in acute injury, including septic shock and acute lung injury. To examine its function in AKI, we utilized a specific function-blocking antibody to inhibit αvβ5 in a rat model of renal IRI. Pretreatment with this anti-αvβ5 antibody significantly reduced serum creatinine levels, diminished renal damage detected by histopathologic evaluation, and decreased levels of injury biomarkers. Notably, therapeutic treatment with the αvβ5 antibody 8 hours after IRI also provided protection from injury. Global gene expression profiling of post-ischemic kidneys showed that αvβ5 inhibition affected established injury markers and induced pathway alterations previously shown to be protective. Intravital imaging of post-ischemic kidneys revealed reduced vascular leak with αvβ5 antibody treatment. Immunostaining for αvβ5 in the kidney detected evident expression in perivascular cells, with negligible expression in the endothelium. Studies in a three-dimensional microfluidics system identified a pericyte-dependent role for αvβ5 in modulating vascular leak. Additional studies showed αvβ5 functions in the adhesion and migration of kidney pericytes in vitro Initial studies monitoring renal blood flow after IRI did not find significant effects with αvβ5 inhibition; however, future studies should explore the contribution of vasomotor effects. These studies identify a role for αvβ5 in modulating injury-induced renal vascular leak, possibly through effects on pericyte adhesion and migration, and reveal αvβ5 inhibition as a promising therapeutic strategy for AKI

Optimizing Crowdsourced Land Use and Land Cover Data Collection: A Two-Stage Approach

Citizen science has become an increasingly popular approach to scientific data collection, where classification tasks involving visual interpretation of images is one prominent area of application, e.g., to support the production of land cover and land-use maps. Achieving a minimum accuracy in these classification tasks at a minimum cost is the subject of this study. A Bayesian approach provides an intuitive and reasonably straightforward solution to achieve this objective. However, its application requires additional information, such as the relative frequency of the classes and the accuracy of each user. While the former is often available, the latter requires additional data collection. In this paper, we present a two-stage approach to gathering this additional information. We demonstrate its application using a hypothetical two-class example and then apply it to an actual crowdsourced dataset with five classes, which was taken from a previous Geo-Wiki crowdsourcing campaign on identifying the size of agricultural fields from very high-resolution satellite imagery. We also attach the R code for the implementation of the newly presented approach

Intrinsic Epithelial Cells Repair the Kidney after Injury

SummaryUnderstanding the mechanisms of nephron repair is critical for the design of new therapeutic approaches to treat kidney disease. The kidney can repair after even a severe insult, but whether adult stem or progenitor cells contribute to epithelial renewal after injury and the cellular origin of regenerating cells remain controversial. Using genetic fate-mapping techniques, we generated transgenic mice in which 94%–95% of tubular epithelial cells, but no interstitial cells, were labeled with either β-galactosidase (lacZ) or red fluorescent protein (RFP). Two days after ischemia-reperfusion injury (IRI), 50.5% of outer medullary epithelial cells coexpress Ki67 and RFP, indicating that differentiated epithelial cells that survived injury undergo proliferative expansion. After repair was complete, 66.9% of epithelial cells had incorporated BrdU, compared to only 3.5% of cells in the uninjured kidney. Despite this extensive cell proliferation, no dilution of either cell-fate marker was observed after repair. These results indicate that regeneration by surviving tubular epithelial cells is the predominant mechanism of repair after ischemic tubular injury in the adult mammalian kidney