1,925 research outputs found
The influence of composition, annealing treatment, and texture on the fracture toughness of Ti-5Al-2.5Sn plate at cryogenic temperatures
The plane strain fracture toughness K sub Ic and conventional tensile properties of two commercially produced one-inch thick Ti-5Al-2.5Sn plates were determined at cryogenic temperatures. One plate was extra-low interstitial (ELI) grade, the other normal interstitial. Portions of each plate were mill annealed at 1088 K (1500 F) followed by either air cooling or furnace cooling. The tensile properties, flow curves, and K sub Ic of these plates were determined at 295 K (room temperature), 77 K (liquid nitrogen temperature), and 20 K (liquid hydrogen temperature)
Fall-related injury in the hospital
Background: 2 — 9% of adult patients who fall in the hospital suffer serious injury. There is little evidence-based literature to guide physicians when assessing hospitalized patients for fall-related injury. This study was designed to (1) identify demographic and/or clinical factors which predict serious fall-related injury among hospitalized adults, and (2) judge the adequacy of physician documentation related to adult patients who fell in the hospital. Methods: Nursing staff are required to report all hospital falls through our hospitals computerized Patient Safety Network (PSN). We performed a retrospective chart review of all PSN reported falls that occurred during 2010 in our 431-bed university acute care hospital. Patients less than18 years old, pregnant women, and prisoners were excluded. Results: Medical records were available for 286/293 (98%) of PSN-reported falls in 251 eligible patients. Falls occurred in 152 males (61%), and 99 females (39%). 48% of falls occurred while toileting. 25% (63/286) of falls were associated with injury, and 4% (11/286) with serious injury (laceration requiring closure or fracture). Compared to all fallers, patients with injury did not differ by gender (males 38/152 vs. females 25/99, p=0.96). Patients older than 64 years who fell were no more likely to suffer injury that younger adults (13/64 vs. 50/187, p = 0.31). In univariate analysis, patients who reported hitting their head, patients with pre-fall confusion, and patients who received narcotics on the day of fall were more likely to suffer injury (estimated odds ratios 6.04, 2.00 and 5.1, respectfully). In multivariate analysis, receiving a narcotic on the day of fall was the strongest predictor of injury (Table). 33% (21/63) of falls with injury had no physician documentation in the hospital record, and in only 21% (13/63) of cases, were falls with injury mentioned in the discharge summary. Conclusions: In this single-institution study, injury occurred in 25% of patients who fell, and serious injury in 4%. Compared to all falls, falls with injury did not vary by gender or age. Receiving a narcotic of the day of fall was the strongest predictor of injury. Physicians inconsistently provided medical record documentation of hospitalized patients who fell with injury.\u2
Narcotic administration and fall-related injury in the hospital: Implications for patient safety programs and providers
Objective: Identify factors that predict fall-related injury in hospitalized adults. Design: Retrospective cohort study. Setting: 435-bed university hospital. Participants: Inpatients with reported falls in 2010. Results: Medical records were available for 286/293 (98%) of reported falls in 251 patients. 25% (63/286) of falls were associated with injury, 4% (11/286) with serious injury. Compared to all fallers, patients with injury did not differ by gender or age. In univariate analysis, patients who reported hitting their head, had pre-fall confusion, or who received narcotics within 24 hours before falling were more likely to suffer injury (estimated odds ratios 6.04, 2.00 and 5.1, respectfully). In multivariate analysis, receiving a narcotic prior to falling was the strongest predictor of injury (estimated odds ratio 5.59; 95% confidence intervals 2.14 — 14.65, p \u3c0.001). Conclusions: In this single-institution study, 25% of patients who fell suffered injury and 4% serious injury. Neither age nor gender predicted fall-related injury. Recent narcotic administration was the strongest predictor of injury. Strategies to prevent fall-related injury in the hospital should target patients receiving narcotics. When evaluating inpatients who have fallen, providers should be especially vigilant about injury in patients who have pre-fall confusion, hit their head, or have received recent narcotics
Structure-Based Design of Hepatitis C Virus Vaccines That Elicit Neutralizing Antibody Responses to a Conserved Epitope
Despite recent advances in therapeutic options, hepatitis C virus (HCV) remains a severe global disease burden, and a vaccine can substantially reduce its incidence. Due to its extremely high sequence variability, HCV can readily escape the immune response; thus, an effective vaccine must target conserved, functionally important epitopes. Using the structure of a broadly neutralizing antibody in complex with a conserved linear epitope from the HCV E2 envelope glycoprotein (residues 412 to 423; epitope I), we performed structure-based design of immunogens to induce antibody responses to this epitope. This resulted in epitope-based immunogens based on a cyclic defensin protein, as well as a bivalent immunogen with two copies of the epitope on the E2 surface. We solved the X-ray structure of a cyclic immunogen in complex with the HCV1 antibody and confirmed preservation of the epitope conformation and the HCV1 interface. Mice vaccinated with our designed immunogens produced robust antibody responses to epitope I, and their serum could neutralize HCV. Notably, the cyclic designs induced greater epitope-specific responses and neutralization than the native peptide epitope. Beyond successfully designing several novel HCV immunogens, this study demonstrates the principle that neutralizing anti-HCV antibodies can be induced by epitope-based, engineered vaccines and provides the basis for further efforts in structure-based design of HCV vaccines.
IMPORTANCE: Hepatitis C virus is a leading cause of liver disease and liver cancer, with approximately 3% of the world\u27s population infected. To combat this virus, an effective vaccine would have distinct advantages over current therapeutic options, yet experimental vaccines have not been successful to date, due in part to the virus\u27s high sequence variability leading to immune escape. In this study, we rationally designed several vaccine immunogens based on the structure of a conserved epitope that is the target of broadly neutralizing antibodies. In vivo results in mice indicated that these antigens elicited epitope-specific neutralizing antibodies, with various degrees of potency and breadth. These promising results suggest that a rational design approach can be used to generate an effective vaccine for this virus
Testing the gaugino AMSB model at the Tevatron via slepton pair production
Gaugino AMSB models-- wherein scalar and trilinear soft SUSY breaking terms
are suppressed at the GUT scale while gaugino masses adopt the AMSB form--
yield a characteristic SUSY particle mass spectrum with light sleptons along
with a nearly degenerate wino-like lightest neutralino and quasi-stable
chargino. The left- sleptons and sneutrinos can be pair produced at
sufficiently high rates to yield observable signals at the Fermilab Tevatron.
We calculate the rate for isolated single and dilepton plus missing energy
signals, along with the presence of one or two highly ionizing chargino tracks.
We find that Tevatron experiments should be able to probe gravitino masses into
the ~55 TeV range for inoAMSB models, which corresponds to a reach in gluino
mass of over 1100 GeV.Comment: 14 pages including 6 .eps figure
Transforming growth factor-β and breast cancer: Lessons learned from genetically altered mouse models
Transforming growth factor (TGF)-βs are plausible candidate tumor suppressors in the breast. They also have oncogenic activities under certain circumstances, however. Genetically altered mouse models provide powerful tools to analyze the complexities of TGF-βaction in the context of the whole animal. Overexpression of TGF-β can suppress tumorigenesis in the mammary gland, raising the possibility that use of pharmacologic agents to enhance TGF-β function locally might be an effective method for the chemoprevention of breast cancer. Conversely, loss of TGF-β response increases spontaneous and induced tumorigenesis in the mammary gland. This confirms that endogenous TGF-βs have tumor suppressor activity in the mammary gland, and suggests that the loss of TGF-β receptors seen in some human breast hyperplasias may play a causal role in tumor development
Yukawa-unified natural supersymmetry
Previous work on t-b-\tau Yukawa-unified supersymmetry, as expected from SUSY
GUT theories based on the gauge group SO(10), tended to have exceedingly large
electroweak fine-tuning (EWFT). Here, we examine supersymmetric models where we
simultaneously require low EWFT ("natural SUSY") and a high degree of Yukawa
coupling unification, along with a light Higgs scalar with m_h\sim125 GeV. As
Yukawa unification requires large tan\beta\sim50, while EWFT requires rather
light third generation squarks and low \mu\sim100-250 GeV, B-physics
constraints from BR(B\to X_s\gamma) and BR(B_s\to \mu+\mu-) can be severe. We
are able to find models with EWFT \Delta\lesssim 50-100 (better than 1-2% EWFT)
and with Yukawa unification as low as R_yuk\sim1.3 (30% unification) if
B-physics constraints are imposed. This may be improved to R_yuk\sim1.2 if
additional small flavor violating terms conspire to improve accord with
B-constraints. We present several Yukawa-unified natural SUSY (YUNS) benchmark
points. LHC searches will be able to access gluinos in the lower 1-2 TeV
portion of their predicted mass range although much of YUNS parameter space may
lie beyond LHC14 reach. If heavy Higgs bosons can be accessed at a high rate,
then the rare H, A\to \mu+\mu- decay might allow a determination of
tan\beta\sim50 as predicted by YUNS models. Finally, the predicted light
higgsinos should be accessible to a linear e+e- collider with \sqrt{s}\sim0.5
TeV.Comment: 18 pages, 7 figures, pdflatex; 3 references adde
Age of the Universe: Influence of the Inhomogeneities on the global Expansion-Factor
For the first time we calculate quantitatively the influence of
inhomogeneities on the global expansion factor by averaging the Friedmann
equation. In the framework of the relativistic second-order
Zel'dovich-approximation scheme for irrotational dust we use observational
results in form of the normalisation constant fixed by the COBE results and we
check different power spectra, namely for adiabatic CDM, isocurvature CDM, HDM,
WDM, Strings and Textures. We find that the influence of the inhomogeneities on
the global expansion factor is very small. So the error in determining the age
of the universe using the Hubble constant in the usual way is negligible. This
does not imply that the effect is negligible for local astronomical
measurements of the Hubble constant. Locally the determination of the
redshift-distance relation can be strongly influenced by the peculiar velocity
fields due to inhomogeneities. Our calculation does not consider such effects,
but is contrained to comparing globally homogeneous and averaged inhomogeneous
matter distributions. In addition we relate our work to previous treatments.Comment: 10 pages, version accepted by Phys. Rev.
Sparticle mass spectra from SU(5) SUSY GUT models with Yukawa coupling unification
Supersymmetric grand unified models based on the gauge group SU(5) often
require in addition to gauge coupling unification, the unification of b-quark
and -lepton Yukawa couplings. We examine SU(5) SUSY GUT parameter space
under the condition of Yukawa coupling unification using 2-loop MSSM
RGEs including full 1-loop threshold effects. The Yukawa-unified solutions
break down into two classes. Solutions with low tan\beta ~3-11 are
characterized by gluino mass ~1-4 TeV and squark mass ~1-5 TeV. Many of these
solutions would be beyond LHC reach, although they contain a light Higgs scalar
with mass <123 GeV and so may be excluded should the LHC Higgs hint persist.
The second class of solutions occurs at large tan\beta ~35-60, and are a subset
of unified solutions. Constraining only unification to ~5%
favors a rather light gluino with mass ~0.5-2 TeV, which should ultimately be
accessible to LHC searches. While our unified solutions can be
consistent with a picture of neutralino-only cold dark matter, invoking
additional moduli or Peccei-Quinn superfields can allow for all of our
Yukawa-unified solutions to be consistent with the measured dark matter
abundance.Comment: 19 pages, 5 figures, 1 table, PDFLate
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