Neutrophil gelatinase-associated lipocalin: its response to hypoxia and association with acute mountain sickness.

Acute Mountain Sickness (AMS) is a common clinical challenge at high altitude (HA). A point-of-care biochemical marker for AMS could have widespread utility. Neutrophil gelatinase-associated lipocalin (NGAL) rises in response to renal injury, inflammation and oxidative stress. We investigated whether NGAL rises with HA and if this rise was related to AMS, hypoxia or exercise. NGAL was assayed in a cohort (n = 22) undertaking 6 hours exercise at near sea-level (SL); a cohort (n = 14) during 3 hours of normobaric hypoxia (FiO2 11.6%) and on two trekking expeditions (n = 52) to over 5000 m. NGAL did not change with exercise at SL or following normobaric hypoxia. During the trekking expeditions NGAL levels (ng/ml, mean ± sd, range) rose significantly (P < 0.001) from 68 ± 14 (60-102) at 1300 m to 183 ± 107 (65-519); 143 ± 66 (60-315) and 150 ± 71 (60-357) at 3400 m, 4270 m and 5150 m respectively. At 5150 m there was a significant difference in NGAL between those with severe AMS (n = 7), mild AMS (n = 16) or no AMS (n = 23): 201 ± 34 versus 171 ± 19 versus 124 ± 12 respectively (P = 0.009 for severe versus no AMS; P = 0.026 for mild versus no AMS). In summary, NGAL rises in response to prolonged hypobaric hypoxia and demonstrates a relationship to the presence and severity of AMS

Modelling the hepatitis B vaccination programme in prisons

A vaccination programme offering hepatitis B (HBV) vaccine at reception into prison has been introduced into selected prisons in England and Wales. Over the coming years it is anticipated this vaccination programme will be extended. A model has been developed to assess the potential impact of the programme on the vaccination coverage of prisoners, ex-prisoners, and injecting drug users (IDUs). Under a range of coverage scenarios, the model predicts the change over time in the vaccination status of new entrants to prison, current prisoners and IDUs in the community. The model predicts that at baseline in 2012 57% of the IDU population will be vaccinated with up to 72% being vaccinated depending on the vaccination scenario implemented. These results are sensitive to the size of the IDU population in England and Wales and the average time served by an IDU during each prison visit. IDUs that do not receive HBV vaccine in the community are at increased risk from HBV infection. The HBV vaccination programme in prisons is an effective way of vaccinating this hard-to-reach population although vaccination coverage on prison reception must be increased to achieve this

Understanding our impact: Analyzing librarian involvement with systematic reviews

Objectives: On a medical campus, systematic reviews with librarian co-authors compared to reviews without librarians were published in journals with lower impact factors, although still within the comparative range. To try to determine why, discipline and authors’ publishing experience were examined. The bibliographic analysis was also expanded to see if there is a difference in the journal ranks by discipline. Methods: Search strategies were created to pull systematic reviews published in the last five years by campus authors from PubMed, Ovid MEDLINE, and Web of Science. Citations were exported and deduped using EndNote X8. The systematic reviews were grouped by whether a librarian from our campus assisted with the search or not by searching for librarians’ names in the author field. A statistically appropriate number of articles without a librarian author were randomly selected for comparison with articles that had librarian assistance. Selected articles were analyzed based on Journal Impact Factor for the year of publication, journal rank by discipline, authors’ discipline(s), and years of authors’ publication experience. Authors’ years of experience are determined by the date of their first published article. Results: Systematic reviews with the assistance of a librarian were statistically no different from those without a librarian in terms of the Journal Impact Factor or journal rank by discipline where systematic reviews were published. Years of experience significantly differed between groups, with librarians assisting most authors with 5 years or fewer of experience. The departments who utilized librarians for systematic searching the most were: General Medicine, Orthopedics, and Gastroenterology. Conclusions: This exploratory research helped evaluate who our librarians are primarily working with on systematic reviews. It also informed us that we do not have an impact on the systematic review being published in a higher impact journal based on Journal Impact Factor or rank by discipline. Our liaison efforts will focus less on the three departments listed above as they already utilize our service. Since most of the authors we assisted had 5 years of experience, we will target the campus faculty onboarding orientation

The gravitational wave rocket

Einstein's equations admit solutions corresponding to photon rockets. In these a massive particle recoils because of the anisotropic emission of photons. In this paper we ask whether rocket motion can be powered only by the emission of gravitational waves. We use the double series approximation method and show that this is possible. A loss of mass and gain in momentum arise in the second approximation because of the emission of quadrupole and octupole waves.Comment: 10 pages LaTe

Photoemission evidence for crossover from Peierls-like to Mott-like transition in highly strained VO2_2

We present a spectroscopic study that reveals that the metal-insulator transition of strained VO$_2$ thin films may be driven towards a purely electronic transition, which does not rely on the Peierls dimerization, by the application of mechanical strain. Comparison with a moderately strained system, which does involve the lattice, demonstrates the crossover from Peierls- to Mott-like transitions

Ion-Beam Induced Current in High-Resistance Materials

The peculiarities of electric current in high-resistance materials, such as semiconductors or semimetals, irradiated by ion beams are considered. It is shown that after ion--beam irradiation an unusual electric current may arise directed against the applied voltage. Such a negative current is a transient effect appearing at the initial stage of the process. The possibility of using this effect for studying the characteristics of irradiated materials is discussed. A new method for defining the mean projected range of ions is suggested.Comment: 1 file, 7 pages, RevTex, no figure

Strain dependence of bonding and hybridization across the metal-insulator transition of VO2

Soft x-ray spectroscopy is used to investigate the strain dependence of the metal-insulator transition of VO2. Changes in the strength of the V 3d - O 2p hybridization are observed across the transition, and are linked to the structural distortion. Furthermore, although the V-V dimerization is well-described by dynamical mean-field theory, the V-O hybridization is found to have an unexpectedly strong dependence on strain that is not predicted by band theory, emphasizing the relevance of the O ion to the physics of VO2

Federating distributed clinical data for the prediction of adverse hypotensive events

The ability to predict adverse hypotensive events, where a patient's arterial blood pressure drops to abnormally low (and dangerous) levels, would be of major benefit to the fields of primary and secondary health care, and especially to the traumatic brain injury domain. A wealth of data exist in health care systems providing information on the major health indicators of patients in hospitals (blood pressure, temperature, heart rate, etc.). It is believed that if enough of these data could be drawn together and analysed in a systematic way, then a system could be built that will trigger an alarm predicting the onset of a hypotensive event over a useful time scale, e.g. half an hour in advance. In such circumstances, avoidance measures can be taken to prevent such events arising. This is the basis for the Avert-IT project (http://www.avert-it.org), a collaborative EU-funded project involving the construction of a hypotension alarm system exploiting Bayesian neural networks using techniques of data federation to bring together the relevant information for study and system development

Lunar mission safety and rescue Midterm presentation, Nov. 1970

Discussing major and minor tasks of safety and rescue planning for lunar mission