2,209 research outputs found
Minimal Brownian Ratchet: An Exactly Solvable Model
We develop an exactly-solvable three-state discrete-time minimal Brownian
ratchet (MBR), where the transition probabilities between states are
asymmetric. By solving the master equations we obtain the steady-state
probabilities. Generally the steady-state solution does not display detailed
balance, giving rise to an induced directional motion in the MBR. For a reduced
two-dimensional parameter space we find the null-curve on which the net current
vanishes and detailed balance holds. A system on this curve is said to be
balanced. On the null-curve, an additional source of external random noise is
introduced to show that a directional motion can be induced under the zero
overall driving force. We also indicate the off-balance behavior with biased
random noise.Comment: 4 pages, 4 figures, RevTex source, General solution added. To be
appeared in Phys. Rev. Let
An analysis of C.difficile Environmental Contamination During and Following Treatment for C.difficile Infection
Background:
Lower Clostridium difficile spore counts in feces from C difficile infection (CDI) patients treated with fidaxomicin versus vancomycin have been observed. We aimed to determine whether environmental contamination is lower in patients treated with fidaxomicin compared with those treated with vancomycin/metronidazole.
Methods:
The CDI cases were recruited at 4 UK hospitals (Leeds, Bradford, and London [2 centers]). Environmental samples (5 room sites) were taken pretreatment and at 2–3, 4–5, 6–8, and 9–12 days of treatment, end of treatment (EOT), and post-EOT. Fecal samples were collected at diagnosis and as often as produced thereafter. Swabs/feces were cultured for C difficile; percentage of C difficile-positive samples and C difficile bioburden were compared between different treatment arms at each time point.
Results:
Pre-EOT (n = 244), there was a significant reduction in environmental contamination (≥1 site positive) around fidaxomicin versus vancomycin/metronidazole recipients at days 4–5 (30% vs 50% recipients, P = .04) and at days 9–12 (22% vs 49%, P = .005). This trend was consistently seen at all other timepoints, but it was not statistically significant. No differences were seen between treatment groups post-EOT (n = 76). Fidaxomicin-associated fecal positivity rates and colony counts were consistently lower than those for vancomycin/metronidazole from days 4 to 5 of treatment (including post-EOT); however, the only significant difference was in positivity rate at days 9–12 (15% vs 55%, P = .03).
Conclusions:
There were significant reductions in C difficile recovery from both feces and the environment around fidaxomicin versus vancomycin/metronidazole recipients. Therefore, fidaxomicin treatment may lower the C difficile transmission risk by reducing excretion and environmental contamination
Monte-Carlo Simulations of the Dynamical Behavior of the Coulomb Glass
We study the dynamical behavior of disordered many-particle systems with
long-range Coulomb interactions by means of damage-spreading simulations. In
this type of Monte-Carlo simulations one investigates the time evolution of the
damage, i.e. the difference of the occupation numbers of two systems, subjected
to the same thermal noise. We analyze the dependence of the damage on
temperature and disorder strength. For zero disorder the spreading transition
coincides with the equilibrium phase transition, whereas for finite disorder,
we find evidence for a dynamical phase transition well below the transition
temperature of the pure system.Comment: 10 pages RevTeX, 8 Postscript figure
Critical behavior in 2+1 dimensional black holes
The critical behavior and phase transition in the 2+1 dimensional Ba\~nados,
Teitelboim, and Zanelli (BTZ) black holes are discussed. By calculating the
equilibrium thermodynamic fluctuations in the microcanonical ensemble,
canonical ensemble, and grand canonical ensemble, respectively, we find that
the extremal spinning BTZ black hole is a critical point, some critical
exponents satisfy the scaling laws of the ``first kind'', and the scaling laws
related to the correlation length suggest that the effective spatial dimension
of extremal black holes is one, which is in agreement with the argument that
the extremal black holes are the Bogomol'nyi saturated string states. In
addition, we find that the massless BTZ black hole is a critical point of
spinless BTZ black holes.Comment: RevTex, 9 pages, nofigur
Instantaneous Normal Mode Analysis of Supercooled Water
We use the instantaneous normal mode approach to provide a description of the
local curvature of the potential energy surface of a model for water. We focus
on the region of the phase diagram in which the dynamics may be described by
the mode-coupling theory. We find, surprisingly, that the diffusion constant
depends mainly on the fraction of directions in configuration space connecting
different local minima, supporting the conjecture that the dynamics are
controlled by the geometric properties of configuration space. Furthermore, we
find an unexpected relation between the number of basins accessed in
equilibrium and the connectivity between them.Comment: 5 pages, 4 figure
Optimal Renormalization Scale and Scheme for Exclusive Processes
We use the BLM method to fix the renormalization scale of the QCD coupling in
exclusive hadronic amplitudes such as the pion form factor and the
photon-to-pion transition form factor at large momentum transfer.
Renormalization-scheme-independent commensurate scale relations are established
which connect the hard scattering subprocess amplitudes that control exclusive
processes to other QCD observables such as the heavy quark potential and the
electron-positron annihilation cross section. The commensurate scale relation
connecting the heavy quark potential, as determined from lattice gauge theory,
to the photon-to-pion transition form factor is in excellent agreement with
data assuming that the pion distribution amplitude is
close to its asymptotic form . We also reproduce the
scaling and normalization of the data at large
momentum transfer. Because the renormalization scale is small, we argue that
the effective coupling is nearly constant, thus accounting for the nominal
scaling behavior of the data. However, the normalization of the space-like pion
form factor obtained from electroproduction experiments is
somewhat higher than that predicted by the corresponding commensurate scale
relation. This discrepancy may be due to systematic errors introduced by the
extrapolation of the electroproduction data to the
pion pole.Comment: 22 pages, Latex, 7 Latex figures. Several references added,
discussion of scale fixing revised for clarity. Final version to appear in
Phys. Rev.
A technical framework for costing health workforce retention schemes in remote and rural areas
<p>Abstract</p> <p>Background</p> <p>Increasing the availability of health workers in remote and rural areas through improved health workforce recruitment and retention is crucial to population health. However, information about the costs of such policy interventions often appears incomplete, fragmented or missing, despite its importance for the sound selection, planning, implementation and evaluation of these policies. This lack of a systematic approach to costing poses a serious challenge for strong health policy decisions.</p> <p>Methods</p> <p>This paper proposes a framework for carrying out a costing analysis of interventions to increase the availability of health workers in rural and remote areas with the aim to help policy decision makers. It also underlines the importance of identifying key sources of financing and of assessing financial sustainability.</p> <p>The paper reviews the evidence on costing interventions to improve health workforce recruitment and retention in remote and rural areas, provides guidance to undertake a costing evaluation of such interventions and investigates the role and importance of costing to inform the broader assessment of how to improve health workforce planning and management.</p> <p>Results</p> <p>We show that while the debate on the effectiveness of policies and strategies to improve health workforce retention is gaining impetus and attention, there is still a significant lack of knowledge and evidence about the associated costs. To address the concerns stemming from this situation, key elements of a framework to undertake a cost analysis are proposed and discussed.</p> <p>Conclusions</p> <p>These key elements should help policy makers gain insight into the costs of policy interventions, to clearly identify and understand their financing sources and mechanisms, and to ensure their sustainability.</p
Reactivation of a developmentally silenced embryonic globin gene
The α- and β-globin loci harbor developmentally expressed genes, which are silenced throughout post-natal life. Reactivation of these genes may offer therapeutic approaches for the hemoglobinopathies, the most common single gene disorders. Here, we address mechanisms regulating the embryonically expressed α-like globin, termed ζ-globin. We show that in embryonic erythroid cells, the ζ-gene lies within a ~65 kb sub-TAD (topologically associating domain) of open, acetylated chromatin and interacts with the α-globin super-enhancer. By contrast, in adult erythroid cells, the ζ-gene is packaged within a small (~10 kb) sub-domain of hypoacetylated, facultative heterochromatin within the acetylated sub-TAD and that it no longer interacts with its enhancers. The ζ-gene can be partially re-activated by acetylation and inhibition of histone de-acetylases. In addition to suggesting therapies for severe α-thalassemia, these findings illustrate the general principles by which reactivation of developmental genes may rescue abnormalities arising from mutations in their adult paralogues
Creating a FACETS digital toolkit to promote quality of life of people with multiple sclerosis through Participatory Design
In this paper, we report on the first stages of creating a stand-alone digital toolkit focusing on the
homework elements of FACETS (Fatigue: Applying Cognitive behavioural and Energy effectiveness
Techniques to lifeStyle). FACETS is an evidence-based face-to-face fatigue management group
programme for people with multiple sclerosis. This paper details the participatory design process
from requirements elicitation to initial prototyping and how offline activities linked to each session
have been mapped in the digitised solution (mobile app)
Motor step size and ATP coupling efficiency of the dsDNA translocase EcoR124I
The Type I restriction-modification enzyme EcoR124I is an archetypical helicase-based dsDNA translocase that moves unidirectionally along the 3′–5′ strand of intact duplex DNA. Using a combination of ensemble and single-molecule measurements, we provide estimates of two physicochemical constants that are fundamental to a full description of motor protein activity—the ATP coupling efficiency (the number of ATP consumed per base pair) and the step size (the number of base pairs transported per motor step). Our data indicate that EcoR124I makes small steps along the DNA of 1 bp in length with 1 ATP consumed per step, but with some uncoupling of the ATPase and translocase cycles occurring so that the average number of ATP consumed per base pair slightly exceeds unity. Our observations form a framework for understanding energy coupling in a great many other motors that translocate along dsDNA rather than ssDNA
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