1,857 research outputs found

    Cytomegalovirus and Human Herpesvirus 6 and 7: Diseases and Diagnosis in Transplantation

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    Similarities and differences in the epidemiology of cytomegalovirus (CMV), human herpesvirus 6 (HHV-6) and human herpesvirus 7 (HHV-7) infections are reviewed. Several distinct laboratory methods have been described for each virus. For CMV in immunocompromised patients, infection is best diagnosed by identifying active infection using routine surveillance cultures. Patients with active infection can then be entered into trials of suppressive therapy (where virus excretion is from the urine or saliva) or pre-emptive therapy (where excretion is detected systemically). For HHV-6 and HHV-7, only anecdotal cases of associations with disease in immunocompromised patients have been reported. Recommendations cannot therefore be made about appropriate diagnostic strategies or about treatment since it is not clear if these viruses are pathogens or passengers

    Microvascular Perfusion Abnormalities of the Thalamus in Painful but Not Painless Diabetic Polyneuropathy: A clue to the pathogenesis of pain in type 1 diabetes

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    OBJECTIVE The pathogenesis of painful diabetic neuropathy (DN) remains undetermined, with both central and peripheral mechanisms implicated. This study investigates whether thalamic perfusion abnormalities occur in painful DN. RESEARCH DESIGN AND METHODS Eighteen subjects with type 1 diabetes (no DN = 6, painful DN = 5, painless DN = 7) and six healthy volunteers (HV) were recruited. Microvascular perfusion characteristics (relative cerebral blood volume [rCBV], flow [rCBF], and transit time [ttFM]) of the thalamus and caudate nucleus were assessed using magnetic resonance perfusion imaging. The caudate nucleus was chosen to serve as an in vivo control region. RESULTS Subjects with painful DN had significantly greater thalamic rCBV (means [SD]; painful DN, 228.7 [19.5]; no DN, 202.3 [25.8]; painless DN, 216.5 [65.5]; HV, 181.9 [51.7]; P = 0.04) and the longest ttFM(s) (painful DN, 38.4 [3.6]; no DN, 35.3 [13.2]; painless DN, 35.9 [13.7]; HV, 33.7 [14.9]; P = 0.07). There was no significant difference in markers of caudate nucleus perfusion. CONCLUSIONS Painful DN is associated with increased thalamic vascularity. This may provide an important clue to the pathogenesis of pain in DN

    Rigid motion revisited: rigid quasilocal frames

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    We introduce the notion of a rigid quasilocal frame (RQF) as a geometrically natural way to define a "system" in general relativity. An RQF is defined as a two-parameter family of timelike worldlines comprising the worldtube boundary of the history of a finite spatial volume, with the rigidity conditions that the congruence of worldlines is expansion-free (constant size) and shear-free (constant shape). This definition of a system is anticipated to yield simple, exact geometrical insights into the problem of motion in general relativity. It begins by answering the questions what is in motion (a rigid two-dimensional system boundary), and what motions of this rigid boundary are possible. Nearly a century ago Herglotz and Noether showed that a three-parameter family of timelike worldlines in Minkowski space satisfying Born's 1909 rigidity conditions has only three degrees of freedom instead of the six we are familiar with from Newtonian mechanics. We argue that in fact we can implement Born's notion of rigid motion in both flat spacetime (this paper) and arbitrary curved spacetimes containing sources (subsequent papers) - with precisely the expected three translational and three rotational degrees of freedom - provided the system is defined quasilocally as the two-dimensional set of points comprising the boundary of a finite spatial volume, rather than the three-dimensional set of points within the volume.Comment: 10 pages (two column), 24 pages (preprint), 1 figur

    Microclass immobility during industrialisation in the USA and Norway

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    The ‘microclass' approach advocated by Grusky, Weeden and colleagues emphasises fine-grained occupational differences and their relevance to social reproduction and social mobility. Using recent developments in historical occupational classifications, we apply a microclass approach to the analysis of intergenerational social mobility using linked census data for Norway and the USA in the late 19th and early 20th century (1850-1910). We describe a procedure that offers an operationalisation of microclass units for these datasets, and show how its application enables us to disentangle different forms of immobility which would not be distinguished in other approaches. Results suggest that microclass immobility is an important part of social reproduction in both Norway and the United States during the era of industrialisation. Both countries reveal a similar balance between ‘big class' and ‘microclass' immobility patterns. In Norway, the relative importance of microclasses in social reproduction regimes, when compared to the role of ‘big class' structures, seems to decline very slightly over the course of industrialisation, but in the USA the relative importance of microclasses seems if anything to increase over the period

    Two-electron atoms, ions and molecules

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    The quantum mechanics of two-electron systems is reviewed, starting with the ground state of the helium atom and helium-like ions, with central charge Z≄2Z\ge 2. For Z=1, demonstrating the stability of the negative hydrogen ion, H−^-, cannot be achieved using a mere product of individual electron wave functions, and requires instead an explicit account for the anticorrelation among the two electrons. The wave function proposed by Chandrasekhar is revisited, where the permutation symmetry is first broken and then restored by a counter-term. More delicate problems can be studied using the same strategy: the stability of hydrogen-like ions (M+,m−,m−)(M^+,m^-,m^-) for any value of the proton-to-electron mass ratio M/mM/m; the energy of the lowest spin-triplet state of helium and helium-like ions; the stability of the doubly-excited hydrogen ion with unnatural parity. The positronium molecule (e+,e+,e−,e−)(e^+,e^+,e^-,e^-), which has been predicted years ago and discovered recently, can also be shown to be stable against spontaneous dissociation, though the calculation is a little more involved. Emphasis is put on symmetry breaking which can either spoil or improve the stability of systems.Comment: 16 pages, 2 figure

    Synthesis of bis(ethylenedithio)tetrathiafulvalene (BEDT-TTF) derivatives functionalised with two, four or eight hydroxyl groups

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    Short synthetic routes to a range of BEDT-TTF derivatives functionalised with two, four or eight hydroxyl groups are reported, of interest because of their potential for introducing hydrogen bonding between donor and anion into their radical cation salts. The cycloaddition of 1,3-dithiole-2,4,5-trithione with alkenes to construct 5,6-dihydro-1,3-dithiolo[4,5-b]1,4-dithiin-2-thiones is a key step, with homo- or hetero-coupling procedures and O-deprotection completing the syntheses. The first synthesis of a single diastereomer of tetrakis(hydroxymethyl)BEDT-TTF, the cis, trans product, was achieved by careful choice of O-protecting groups to facilitate separation of homo- and hetero-coupled products. Cyclisation of the trithione with enantiopure 1R,2R,5R,6R-bis(O,O-isopropylidene)hex-3-ene-1,2,5,6-tetrol (from D-mannitol) gave two separable diastereomeric thiones, which can be transformed to enantiomeric BEDT-TTF derivatives with four or eight hydroxyl groups

    Probing the surfaces of core-shell and hollow nanoparticles by solvent relaxation NMR

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    Measurement of the spin-spin NMR relaxation time (or its inverse, the rate) of water molecules in aqueous nanoparticle dispersions has become a popular approach to probe of the nature and structure of the particle surface and any adsorbed species. Here, we report on the characterisation of aqueous dispersions of hollow amorphous nanoparticles, that have two liquid accessible surfaces (inner cavity surface and outer shell surface), plus the solid (silica) and core-shell (titania-silica) nanoparticle precursors from which the hollow particles have been prepared. In all cases, the observed water relaxation rates scale linearly with particle surface area, with the effect being more pronounced with increasing levels of titania present at the particle surface. Two distinct behaviours were observed for the hollow nanoparticles at very low volume fractions, which appear to merge with increasing surface area (particle concentration). Herewith, we further show the versatility of solvent NMR spectroscopy as a probe of surface character
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