421 research outputs found

    Incidence of middle ear barotrauma in staged versus linear chamber compression during hyperbaric oxygen therapy: a double blinded, randomized controlled trial

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    Context: Middle ear barotrauma (MEB) is common during chamber compression in hyperbaric oxygen therapy. However, little evidence exists on an optimal compression protocol to minimize the incidence and severity of MEB. Objective: To compare the incidence of MEB during hyperbaric oxygen therapy using two different chamber compression protocols. Design: Double-blinded, randomized controlled trial. Setting: Hyperbaric Medicine Unit, The Townsville Hospital, Queensland, Australia, September 2012 to December 2014.Patients: 100 participants undergoing their first hyperbaric oxygen therapy session. Intervention: Random assignment to a staged (n=50) or a linear (n=50) compression protocols. Photographs of tympanic membranes were taken pre- and post-treatment and then graded. Middle ear barotrauma was defined as an increase of at least one grade on a modified TEED scale. Results: The observed MEB incidence under the staged protocol was 48% compared to 62% using the linear protocol (P=0.12, exact one-sided binomial test),and thus the staged protocol did not show a significant improvement in MEB. However, the staged protocol resulted in significantly less severe deteriorations in MEB grades when compared to the linear protocol(P=0.028, exact one-sided Mann-Whitney type test). Conclusion: The use of the assessed staged compression protocol for the first hyperbaric oxygen treatment showed no significant effect on the overall incidence of MEB when compared to the gold standard linear protocol but resulted in a significant improvement in the severity of the experienced MEBs. Further studies are needed to elucidate an optimal compression protocol to minimize middle ear barotrauma

    Impact of comet Shoemaker-Levy 9 on Jupiter

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    Three-dimensional numerical simulations of the impact of Comet Shoemaker-Levy 9 on Jupiter and the resulting vapor plume expansion were conducted using the Smoothed Particle Hydrodynamics (SPH) method. An icy body with a diameter of 2 km can penetrate to an altitude of -350 km (0 km = 1 bar) and most of the incident kinetic energy is transferred to the atmosphere between -100 km to -250 km. This energy is converted to potential energy of the resulting gas plume. The unconfined plume expands vertically and has a peak radiative power approximately equal to the total radiation from Jupiter's disc. The plume rises a few tens of atmospheric scale heights in ∼10² seconds. The rising plume reaches the altitude of ∼3000 km, but no atmospheric gas is accelerated to the escape velocity (∼60 km/s)

    Dementias Platform UK (DPUK) Data Portal - supporting multi-modal data analysis, data linkage and real-world outcomes

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    DPUK relaunched the Data Portal in November 2017 to present openly available information on the data availability and technical capability of the Data Portal, which supports multi-modal research studies with various objectives from disease model validation to observation investigation. DPUK not only brings clinical data together from cohorts, but is now supporting multi-modal studies in genetics and imaging, as well as linkage opportunities to routine data using world-leading technical solutions to data sharing. The capacity, adaptability and sophistication of the UK Secure eResearch Platform which the Portal is housed on, allows for unprecedented levels of centralised access to rich cohort and routine data, which is consequentially leading to international collaboration and development ambition within epidemiology, bioinformatics, research methodology and technical research solutions. As of March 2018, DPUK is supporting 50 cohorts, 41 from the UK and 9 from across the rest of the world, alongside furthering links and access to routine data held in the UK and across the world. 20 research studies are underway, and the DPUK mission to enhance data science within dementia research is leading the conversation for developing a community of excellence in this field and across other research genres

    Radiative signals from impact of Shoemaker-Levy on Jupiter

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    The temperature and internal energy fields calculated by Takata et al. in the plume are used to calculate the greybody thermal radiation emitted versus wavelength to predict what might be observed by several spectral sensors operating from different platforms when fragments of Comet Shoemaker-Levy 9 (SL-9) impact Jupiter in July 1994. A SPH code was used by Takata et al. to calculate the full three dimensional flow and thermodynamic fields in the comet fragment and the atmosphere of Jupiter. We determined the fragment penetration depth, energy partitioning between the atmosphere and the impactor, and energy density deposited per unit length over the trajectory. Once the impactor had disintegrated and stopped, and the strong atmospheric shock decayed, the flow is driven by buoyancy effects. We then used our SPH code to calculate the flow and thermodynamic fields: pressure, article velocity, temperature, and internal energy distributions in the plume. The calculations for 2 and 10 km cometary fragments yield maximum deposition depths of approximately 175 and 525 km, respectively (1 bar = 0 km depth). We also calculated that 0.7 and 0.6 of the initial kinetic energy of the 10 and 2 km bolides, respectively, are deposited as internal energy in Jupiter's atmosphere

    Optical constants of liquid and solid methane

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    The optical constants n(sub r) + in(sub i) of liquid methane and phase 1 solid methane were determined over the entire spectral range by the use of various data sources published in the literature. Kramers-Kronig analyses were performed on the absorption spectra of liquid methane at the boiling point (111 K) and the melting point (90 K) and on the absorption spectra of phase 1 solid methane at the melting point and at 30 K. Measurements of the static dielectric constant at these temperatures and refractive indices determined over limited spectral ranges were used as constraints in the analyses. Applications of methane optical properties to studies of outer solar system bodies are described

    The Secure Anonymised Information Linkage databank Dementia e-cohort (SAIL-DeC)

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    Introduction: The rising burden of dementia is a global concern, and there is a need to study its causes, natural history and outcomes. The Secure Anonymised Information Linkage (SAIL) Databank contains anonymised, routinely-collected healthcare data for the population of Wales, UK. It has potential to be a valuable resource for dementia research owing to its size, long follow-up time and prospective collection of data during clinical care. Objectives:We aimed to apply reproducible methods to create the SAIL dementia e-cohort (SAIL-DeC). We created SAIL-DeC with a view to maximising its utility for a broad range of research questions whilst minimising duplication of effort for researchers. Methods:SAIL contains individual-level, linked primary care, hospital admission, mortality and demographic data. Data are currently available until 2018 and future updates will extend participant follow-up time. We included participants who were born between 1st January 1900 and 1st January 1958 and for whom primary care data were available. We applied algorithms consisting of International Classification of Diseases (versions 9 and 10) and Read (version 2) codes to identify participants with and without all-cause dementia and dementia subtypes. We also created derived variables for comorbidities and risk factors. Results:From 4.4 million unique participants in SAIL, 1.2 million met the cohort inclusion criteria, resulting in 18.8 million person-years of follow-up. Of these, 129,650 (10%) developed all-cause dementia, with 77,978 (60%) having dementia subtype codes. Alzheimer's disease was the most common subtype diagnosis (62%). Among the dementia cases, the median duration of observation time was 14 years. Conclusion:We have created a generalisable, national dementia e-cohort, aimed at facilitating epidemiological dementia research

    Moderate Resolution Spitzer Infrared Spectrograph (IRS) Observations of M, L, and T Dwarfs

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    We present 10 - 19 um moderate resolution spectra of ten M dwarfs, one L dwarf, and two T dwarf systems obtained with the Infrared Spectrograph (IRS) onboard the Spitzer Space Telescope. The IRS allows us to examine molecular spectroscopic features/lines at moderate spectral resolution in a heretofore untapped wavelength regime. These R~600 spectra allow for a more detailed examination of clouds, non-equilibrium chemistry, as well as the molecular features of H2O, NH3, and other trace molecular species that are the hallmarks of these objects. A cloud-free model best fits our mid-infrared spectrum of the T1 dwarf epsilon Indi Ba, and we find that the NH3 feature in epsilon Indi Bb is best explained by a non-equilibrium abundance due to vertical transport in its atmosphere. We examined a set of objects (mostly M dwarfs) in multiple systems to look for evidence of emission features, which might indicate an atmospheric temperature inversion, as well as trace molecular species; however, we found no evidence of either.Comment: 19 pages, 7 figures, accepted ApJ 1/12/0
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