943 research outputs found
Collaboration in the Midst of Change: Growing Librarian-Archivist Partnerships for Engaging New Students and Faculty
Collaboration between librarians and archivists is a valuable way to share expertise and effort when instructing first-year English students on research skills they will need to succeed in college. It is also vital to orienting new faculty to library and archive resources for their scholarship and teaching, as well as encouraging students to value the library and archives resources and knowledge. The unique first-year English program at the Georgia Institute of Technology (Georgia Tech) provides a constantly renewing pool of both new students and faculty members. This article identifies common themes in library and archive instruction and key elements of engaging first-year faculty and their students in becoming long-term patrons, in the midst of Georgia Tech’s Library Next initiative, a re-imagining of the twenty-first century library and a major renovation of physical spaces
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Toward mixed-element meshing based on restricted Voronoi diagrams
In this paper we propose a method to generate mixed-element meshes (tetrahedra, triangular prisms, square pyramids) for B-Rep models. The vertices, edges, facets, and cells of the final volumetric mesh are determined from the combinatorial analysis of the intersections between the model components and the Voronoi diagram of sites distributed to sample the model. Inside the volumetric regions, Delaunay tetrahedra dual of the Voronoi diagram are built. Where the intersections of the Voronoi cells with the model surfaces have a unique connected component, tetrahedra are modified to fit the input triangulated surfaces. Where these intersections are more complicated, a correspondence between the elements of the Voronoi diagram and the elements of the mixedelement mesh is used to build the final volumetric mesh. The method which was motivated by meshing challenges encountered in geological modeling is demonstrated on several 3D synthetic models of subsurface rock volumes
Physiological and clinical consequences of relief of right ventricular outflow tract obstruction late after repair of congenital heart defects.
BACKGROUND: Right ventricular outflow tract obstruction (RVOTO) is a common problem after repair of congenital heart disease. Percutaneous pulmonary valve implantation (PPVI) can treat this condition without consequent pulmonary regurgitation or cardiopulmonary bypass. Our aim was to investigate the clinical and physiological response to relieving RVOTO. METHODS AND RESULTS: We studied 18 patients who underwent PPVI for RVOTO (72% male, median age 20 years) from a total of 93 who had this procedure for various indications. All had a right ventricular outflow tract (RVOT) gradient >50 mm Hg on echocardiography without important pulmonary regurgitation (less than mild or regurgitant fraction <10% on magnetic resonance imaging [MRI]). Cardiopulmonary exercise testing, tissue Doppler echocardiography, and MRI were performed before and within 50 days of PPVI. PPVI reduced RVOT gradient (51.4 to 21.7 mm Hg, P<0.001) and right ventricular systolic pressure (72.8 to 47.3 mm Hg, P<0.001) at catheterization. Symptoms and aerobic (25.7 to 28.9 mL.kg(-1).min(-1), P=0.002) and anaerobic (14.4 to 16.2 mL.kg(-1).min(-1), P=0.002) exercise capacity improved. Myocardial systolic velocity improved acutely (tricuspid 4.8 to 5.3 cm/s, P=0.05; mitral 4.7 to 5.5 cm/s, P=0.01), whereas isovolumic acceleration was unchanged. The tricuspid annular velocity was not maintained on intermediate follow-up. Right ventricular end-diastolic volume (99.9 to 89.7 mL/m2, P<0.001) fell, whereas effective stroke volume (43.7 to 48.3 mL/m2, P=0.06) and ejection fraction (48.0% to 56.8%, P=0.01) increased. Left ventricular end-diastolic volume (72.5 to 77.4 mL/m2, P=0.145), stroke volume (45.3 to 50.6 mL/m2, P=0.02), and ejection fraction (62.6% to 65.8%, P=0.03) increased. CONCLUSIONS: PPVI relieves RVOTO, which leads to an early improvement in biventricular performance. Furthermore, it reduces symptoms and improves exercise tolerance. These findings have important implications for the management of this increasingly common condition
Percutaneous pulmonary valve implantation in humans - Results in 59 consecutive patients
Background - Right ventricular outflow tract (RVOT) reconstruction with valved conduits in infancy and childhood leads to reintervention for pulmonary regurgitation and stenosis in later life.Methods and Results - Patients with pulmonary regurgitation with or without stenosis after repair of congenital heart disease had percutaneous pulmonary valve implantation (PPVI). Mortality, hemodynamic improvement, freedom from explantation, and subjective and objective changes in exercise tolerance were end points. PPVI was performed successfully in 58 patients, 32 male, with a median age of 16 years and median weight of 56 kg. The majority had a variant of tetralogy of Fallot (n = 36), or transposition of the great arteries, ventricular septal defect with pulmonary stenosis (n = 8). The right ventricular (RV) pressure (64.4 +/- 17.2 to 50.4 +/- 14 mm Hg, P < 0.001), RVOT gradient (33 +/- 24.6 to 19.5 +/- 15.3, P < 0.001), and pulmonary regurgitation ( PR) (grade 2 of greater before, none greater than grade 2 after, P < 0.001) decreased significantly after PPVI. MRI showed significant reduction in PR fraction (21 +/- 13% versus 3 +/- 4%, P < 0.001) and in RV end-diastolic volume (EDV) (94 +/- 28 versus 82 +/- 24 mL (.) beat(-1) (.) m(-2), P < 0.001) and a significant increase in left ventricular EDV ( 64 +/- 12 versus 71 +/- 13 mL (.) beat(-1.) m(-2), P = 0.005) and effective RV stroke volume ( 37 +/- 7 versus 42 +/- 9 mL (.) beat(-1) (.) m(-2), P = 0.006) in 28 patients (age 19 +/- 8 years). A further 16 subjects, on metabolic exercise testing, showed significant improvement in V(O2)max (26 +/- 7 versus 29 +/- 6 mL (.) kg(-1) (.) min(-1), P < 0.001). There was no mortality.Conclusions - PPVI is feasible at low risk, with quantifiable improvement in MRI-defined ventricular parameters and pulmonary regurgitation, and results in subjective and objective improvement in exercise capacity
Update on leukodystrophies and developing trials
Leukodystrophies are a heterogeneous group of rare genetic disorders primarily affecting the white matter of the central nervous system. These conditions can present a diagnostic challenge, requiring a comprehensive approach that combines clinical evaluation, neuroimaging, metabolic testing, and genetic testing. While MRI is the main tool for diagnosis, advances in molecular diagnostics, particularly whole-exome sequencing, have significantly improved the diagnostic yield. Timely and accurate diagnosis is crucial to guide symptomatic treatment and assess eligibility to participate in clinical trials. Despite no specific cure being available for most leukodystrophies, gene therapy is emerging as a potential treatment avenue, rapidly advancing the therapeutic prospects in leukodystrophies. This review will explore diagnostic and therapeutic strategies for leukodystrophies, with particular emphasis on new trials
Diffuse far-infrared and ultraviolet emission in the NGC4435/4438 system: tidal stream or Galactic cirrus?
We report the discovery of diffuse far-infrared and far-ultraviolet emission
projected near the interacting pair NGC4435/4438, in the Virgo cluster. This
feature spatially coincides with a well known low surface-brightness optical
plume, usually interpreted as tidal debris. If extragalactic, this stream would
represent not only one of the clearest examples of intracluster dust, but also
a rare case of intracluster molecular hydrogen and large-scale intracluster
star formation. However, the ultraviolet, far-infrared, HI and CO emission as
well as the dynamics of this feature are extremely unusual for tidal streams
but are typical of Galactic cirrus clouds. In support to the cirrus scenario,
we show that a strong spatial correlation between far-infrared and
far-ultraviolet cirrus emission is observed across the center of the Virgo
cluster, over a scale of several degrees. This study demonstrates how dramatic
Galactic cirrus contamination can be, even at optical and ultraviolet
wavelengths and at high galactic latitudes. If ignored, the presence of diffuse
light scattered by Galactic dust clouds could significantly bias our
interpretation of low surface-brightness features and diffuse light observed
around galaxies and in clusters of galaxies.Comment: 6 pages, 4 figures. Accepted for publication in MNRAS Letter
CO emission and variable CH and CH+ absorption towards HD34078: evidence for a nascent bow shock ?
The runaway star HD34078, initially selected to investigate small scale
structure in a foreground diffuse cloud has been shown to be surrounded by
highly excited H2. We first search for an association between the foreground
cloud and HD34078. Second, we extend previous investigations of temporal
absorption line variations (CH, CH+, H2) in order to better characterize them.
We have mapped the CO(2-1) emission at 12 arcsec resolution around HD34078's
position, using the 30 m IRAM antenna. The follow-up of CH and CH+ absorption
lines has been extended over 5 more years. In parallel, CH absorption towards
the reddened star Zeta Per have been monitored to check the homogeneity of our
measurements. Three more FUSE spectra have been obtained to search for N(H2)
variations. CO observations show a pronounced maximum near HD34078's position,
clearly indicating that the star and diffuse cloud are associated. The optical
spectra confirm the reality of strong, rapid and correlated CH and CH+
fluctuations. On the other hand, N(H2, J=0) has varied by less than 5 % over 4
years. We also discard N(CH) variations towards Zeta Per at scales less than 20
AU. Observational constraints from this work and from 24 micron dust emission
appear to be consistent with H2 excitation but inconsistent with steady-state
bow shock models and rather suggest that the shell of compressed gas
surrounding HD34078, is seen at an early stage of the interaction. The CH and
CH+ time variations as well as their large abundances are likely due to
chemical structure in the shocked gas layer located at the stellar wind/ambient
cloud interface. Finally, the lack of variations for both N(H2, J=0) towards
HD34078 and N(CH) towards Zeta Per suggests that quiescent molecular gas is not
subject to pronounced small-scale structure.Comment: 19 pages, 15 figures, accepted for publication in A&
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