Magnetic Excitations in the Ground State of Yb2Ti2O7\mathrm{Yb_2Ti_2O_7}

We report an extensive study on the zero field ground state of a powder sample of the pyrochlore $\mathrm{Yb_2Ti_2O_7}$. A sharp heat capacity anomaly that labels a low temperature phase transition in this material is observed at 280 mK. Neutron diffraction shows that a \emph{quasi-collinear} ferromagnetic order develops below $T_\mathrm{c}$ with a magnetic moment of $0.87(2)\mu_\mathrm{B}$. High resolution inelastic neutron scattering measurements show, below the phase transition temperature, sharp gapped low-lying magnetic excitations coexisting with a remnant quasielastic contribution likely associated with persistent spin fluctuations. Moreover, a broad inelastic continuum of excitations at $\sim0.6$ meV is observed from the lowest measured temperature up to at least 2.5 K. At 10 K, the continuum has vanished and a broad quasielastic conventional paramagnetic scattering takes place at the observed energy range. Finally, we show that the exchange parameters obtained within the framework of linear spin-wave theory do not accurately describe the observed zero field inelastic neutron scattering data.Comment: 11 pages, 9 figures, Phys. Rev. B. (accepted

Correlation of Group C Meningococcal Conjugate Vaccine Response with B- and T-Lymphocyte Activity

Despite the success of conjugate vaccination against meningococcal group C (MenC) disease, post-vaccination, some individuals still exhibit rapid waning of initially protective bactericidal antibody levels. The mechanism of this relative loss of humoral protection remains undetermined. In this report we have investigated the relationship between T- and B-cell activation and co-stimulation and the loss of protective antibody titers. We have found that healthy volunteers who lose protective MenC antibody levels one year after receipt of glycoconjugate vaccine exhibit no detectable cellular defect in polyclonal B- or T-cell activation, proliferation or the B-memory pool. This suggests that the processes underlying the more rapid loss of antibody levels are independent of defects in either initial T- or B-cell activation

Cardiovascular Responses During Resistance Exercise in Patients with Parkinson Disease

Background: Patients with Parkinson disease (PD) present cardiovascular autonomic dysfunction which impairs blood pressure control. However, cardiovascular responses during resistance exercise are unknown in these patients. Objective: Investigate the cardiovascular responses during resistance exercise performed with different muscle masses, in patients with PD. Design: Two groups, repeated-measures design. Setting: Exercise Hemodynamic Laboratory, School of Physical Education and Sport, University of São Paulo. Participants: Thirteen patients with PD (4 women, 62.7±1.3 years, stages 2-3 of modified Hoehn and Yahr scale; "on" state of medication) and thirteen paired controls without PD (7 women, 66.2±2.0years) Interventions: Both groups performed, in a random order, bilateral and unilateral knee extension exercises (2 sets, 10–12 RM, 2 min of interval). Main Outcome Measurements: Systolic blood pressure (SBP) and heart rate (HR) were assessed before (pre) and during the exercises. Results: Independent of set and exercise type, SBP and HR increases were significantly lower in PD than the control group (combined values: +45±2 vs. +73±4 mmHg and +18±1 vs. +31±2 bpm, P =.003 and .007, respectively). Independently of group and set, the SBP increase was greater in the bilateral than the unilateral exercise (combined values: +63±4 vs +54±3 mmHg, P=.002), while the HR increase was similar. In addition, independently of group and exercise type, the SBP increase was higher in the 2nd than the 1st set (combined values: +56±4 vs +61±4 mmHg, P=.04), while the HR increases were similar. Conclusions: Patients with PD present attenuated 25 increases in SBP and HR during resistance exercise in comparison with healthy subjects. These results support that resistance exercise is safe and well tolerated for patients with PD from a cardiovascular point of view supporting its recommendation for this population

Problem and Pathological Gambling in a Sample of Casino Patrons

Relatively few studies have examined gambling problems among individuals in a casino setting. The current study sought to examine the prevalence of gambling problems among a sample of casino patrons and examine alcohol and tobacco use, health status, and quality of life by gambling problem status. To these ends, 176 casino patrons were recruited by going to a Southern California casino and requesting that they complete an anonymous survey. Results indicated the following lifetime rates for at-risk, problem, and pathological gambling: 29.2, 10.7, and 29.8%. Differences were found with regards to gambling behavior, and results indicated higher rates of smoking among individuals with gambling problems, but not higher rates of alcohol use. Self-rated quality of life was lower among pathological gamblers relative to non-problem gamblers, but did not differ from at-risk or problem gamblers. Although subject to some limitations, our data support the notion of higher frequency of gambling problems among casino patrons and may suggest the need for increased interventions for gambling problems on-site at casinos

3D Bioprinted Human Skeletal Muscle Constructs for Muscle Function Restoration

A bioengineered skeletal muscle tissue as an alternative for autologous tissue flaps, which mimics the structural and functional characteristics of the native tissue, is needed for reconstructive surgery. Rapid progress in the cell-based tissue engineering principle has enabled in vitro creation of cellularized muscle-like constructs; however, the current fabrication methods are still limited to build a three-dimensional (3D) muscle construct with a highly viable, organized cellular structure with the potential for a future human trial. Here, we applied 3D bioprinting strategy to fabricate an implantable, bioengineered skeletal muscle tissue composed of human primary muscle progenitor cells (hMPCs). The bioprinted skeletal muscle tissue showed a highly organized multi-layered muscle bundle made by viable, densely packed, and aligned myofiber-like structures. Our in vivo study presented that the bioprinted muscle constructs reached 82% of functional recovery in a rodent model of tibialis anterior (TA) muscle defect at 8 weeks of post-implantation. In addition, histological and immunohistological examinations indicated that the bioprinted muscle constructs were well integrated with host vascular and neural networks. We demonstrated the potential of the use of the 3D bioprinted skeletal muscle with a spatially organized structure that can reconstruct the extensive muscle defects

Geoeconomic variations in epidemiology, ventilation management, and outcomes in invasively ventilated intensive care unit patients without acute respiratory distress syndrome: a pooled analysis of four observational studies

Background: Geoeconomic variations in epidemiology, the practice of ventilation, and outcome in invasively ventilated intensive care unit (ICU) patients without acute respiratory distress syndrome (ARDS) remain unexplored. In this analysis we aim to address these gaps using individual patient data of four large observational studies. Methods: In this pooled analysis we harmonised individual patient data from the ERICC, LUNG SAFE, PRoVENT, and PRoVENT-iMiC prospective observational studies, which were conducted from June, 2011, to December, 2018, in 534 ICUs in 54 countries. We used the 2016 World Bank classification to define two geoeconomic regions: middle-income countries (MICs) and high-income countries (HICs). ARDS was defined according to the Berlin criteria. Descriptive statistics were used to compare patients in MICs versus HICs. The primary outcome was the use of low tidal volume ventilation (LTVV) for the first 3 days of mechanical ventilation. Secondary outcomes were key ventilation parameters (tidal volume size, positive end-expiratory pressure, fraction of inspired oxygen, peak pressure, plateau pressure, driving pressure, and respiratory rate), patient characteristics, the risk for and actual development of acute respiratory distress syndrome after the first day of ventilation, duration of ventilation, ICU length of stay, and ICU mortality. Findings: Of the 7608 patients included in the original studies, this analysis included 3852 patients without ARDS, of whom 2345 were from MICs and 1507 were from HICs. Patients in MICs were younger, shorter and with a slightly lower body-mass index, more often had diabetes and active cancer, but less often chronic obstructive pulmonary disease and heart failure than patients from HICs. Sequential organ failure assessment scores were similar in MICs and HICs. Use of LTVV in MICs and HICs was comparable (42\ub74% vs 44\ub72%; absolute difference \u20131\ub769 [\u20139\ub758 to 6\ub711] p=0\ub767; data available in 3174 [82%] of 3852 patients). The median applied positive end expiratory pressure was lower in MICs than in HICs (5 [IQR 5\u20138] vs 6 [5\u20138] cm H2O; p=0\ub70011). ICU mortality was higher in MICs than in HICs (30\ub75% vs 19\ub79%; p=0\ub70004; adjusted effect 16\ub741% [95% CI 9\ub752\u201323\ub752]; p<0\ub70001) and was inversely associated with gross domestic product (adjusted odds ratio for a US$10 000 increase per capita 0\ub780 [95% CI 0\ub775\u20130\ub786]; p<0\ub70001). Interpretation: Despite similar disease severity and ventilation management, ICU mortality in patients without ARDS is higher in MICs than in HICs, with a strong association with country-level economic status. Funding: No funding

Calcium and phosphorus utilization in growing sheep supplemented with dicalcium phosphate

10 páginas, 4 tablas.The objective of the current study was to evaluate the utilization of calcium (Ca) and phosphorus (P) in growing sheep consuming increasing amounts of dicalcium phosphate. Eighteen growing sheep, aged 8 months, were fed a basal diet supplemented with 0, 12.5 and 25 g of dicalcium phosphate/day. During the experiment, animals were injected intravenously with 7.4 MBq of Ca-45 and P-32 and samples of plasma, faeces and urine were subsequently taken daily for 1 week after injection. Rumen fluid was sampled on days 4-7 after injection. Specific radioactivity in plasma and in faeces were used to determine true absorption of Ca and P, whereas plasmatic and ruminal specific radio-activities were used to determine endogenous P flow into the rumen and turnover time of rumen P. Increasing dicalcium phosphate intake led to linear increases in faecal excretion of endogenous Ca and P (P < 0.05), suggesting that surpluses of ingested Ca and P were voided through secretion to the gut. True absorption coefficients for 0, 12.5 and 25 g of dicalcium phosphate ingested daily were 0.54, 0.41 and 0.38 for Ca, and 0.66, 0.62 and 0.64 for P, respectively. Flows of endogenous P into the rumen increased linearly and ruminal turnover time of P decreased linearly (P < 0.01) as P intake was increased. Concentrations of Ca and P in bone were not affected by the increased amounts of these minerals ingested (P < 0.05). In conclusion, increasing ingestion of dicalcium phosphate increases faecal excretion of Ca and P, thus decreasing the efficiency of utilization of both minerals. Moreover, increasing levels of dietary P increased endogenous P excretion, contributing to the amount of P disposed of in the environment.Canada Research Chairs program; NSERC Discovery program; Spanish 'Ministerio de Educacion' under the programme 'Programa Nacional de Movilidad de Recursos Humanos del Plan Nacional de I-D + i - subprograma EXTESP-EDU' SAB2010-0151Peer reviewe