7,661 research outputs found
An experimental and computational study of calamitic and bimesogenic liquid crystals incorporating an optically active [2,2]-paracyclophane
Two liquid-crystalline materials containing an optically active (R)-4-hydroxy-[2,2]-paracyclophane group were prepared, one in which the chiral group is a bulky terminal unit and one in which it forms part of a terphenyl-like mesogenic unit. Both materials exhibit monotropic chiral nematic phases. Partial phase diagrams were constructed for mixtures of both materials with 5CB, allowing us to extrapolate pitch lengths and helical twisting power values (HTP) for each material. The HTP value of the material with a ālockedā paracyclophane is 70% higher than that of a āfreeā paracyclophane and this is rationalised as being due to the reduction in conformational freedom of the former material relative to the later
Risk factors for presentation to hospital with severe anaemia in Tanzanian children: a case-control study.
In malaria endemic areas anaemia is a usually silent condition that nevertheless places a considerable burden on health services. Cases of severe anaemia often require hospitalization and blood transfusions. The objective of this study was to assess risk factors for admission with anaemia to facilitate the design of anaemia control programmes. We conducted a prospective case-control study of children aged 2-59 months admitted to a district hospital in southern Tanzania. There were 216 cases of severe anaemia [packed cell volume (PCV) < 25%] and 234 age-matched controls (PCV > or = 25%). Most cases [55.6% (n = 120)] were < 1 year of age. Anaemia was significantly associated with the educational level of parents, type of accommodation, health-seeking behaviour, the child's nutritional status and recent and current medical history. Of these, the single most important factor was Plasmodium falciparum parasitaemia [OR 4.3, 95% confidence interval (CI) 2.9-6.5, P < 0.001]. Multivariate analysis showed that increased recent health expenditure [OR 2.2 (95% CI 1.3-3.9), P = 0.005], malnutrition [OR 2.4 (95%CI 1.3-4.3), P < 0.001], living > 10 km from the hospital [OR 3.0 (95% CI 1.9-4.9), P < 0.001], a history of previous blood transfusion [OR 3.8 (95% CI 1.7-9.1), P < 0.001] and P. falciparum parasitaemia [OR 9.5 (95% CI 4.3-21.3), P < 0.001] were independently related to risk of being admitted with anaemia. These findings are considered in terms of the pathophysiological pathway leading to anaemia. The concentration of anaemia in infants and problems of access to health services and adequate case management underline the need for targeted preventive strategies for anaemia control
A structural basis for the amphiphilic character of alginates ā Implications for membrane fouling
Noiseless nonreciprocity in a parametric active device
Nonreciprocal devices such as circulators and isolators belong to an
important class of microwave components employed in applications like the
measurement of mesoscopic circuits at cryogenic temperatures. The measurement
protocols usually involve an amplification chain which relies on circulators to
separate input and output channels and to suppress backaction from different
stages on the sample under test. In these devices the usual reciprocal symmetry
of circuits is broken by the phenomenon of Faraday rotation based on magnetic
materials and fields. However, magnets are averse to on-chip integration, and
magnetic fields are deleterious to delicate superconducting devices. Here we
present a new proposal combining two stages of parametric modulation emulating
the action of a circulator. It is devoid of magnetic components and suitable
for on-chip integration. As the design is free of any dissipative elements and
based on reversible operation, the device operates noiselessly, giving it an
important advantage over other nonreciprocal active devices for quantum
information processing applications.Comment: 17 pages, 4 figures + 12 pages Supplementary Informatio
Biohydrogenation of 22:6n-3 by Butyrivibrio proteoclasticus P18
Background: Rumen microbes metabolize 22:6n-3. However, pathways of 22:6n-3 biohydrogenation and ruminal microbes involved in this process are not known. In this study, we examine the ability of the well-known rumen biohydrogenating bacteria, Butyrivibrio fibrisolvens D1 and Butyrivibrio proteoclasticus P18, to hydrogenate 22:6n-3.
Results: Butyrivibrio fibrisolvens D1 failed to hydrogenate 22:6n-3 (0.5 to 32 mu g/mL) in growth medium containing autoclaved ruminal fluid that either had or had not been centrifuged. Growth of B. fibrisolvens was delayed at the higher 22:6n-3 concentrations; however, total volatile fatty acid production was not affected. Butyrivibrio proteoclasticus P18 hydrogenated 22:6n-3 in growth medium containing autoclaved ruminal fluid that either had or had not been centrifuged. Biohydrogenation only started when volatile fatty acid production or growth of B. proteoclasticus P18 had been initiated, which might suggest that growth or metabolic activity is a prerequisite for the metabolism of 22:6n-3. The amount of 22:6n-3 hydrogenated was quantitatively recovered in several intermediate products eluting on the gas chromatogram between 22:6n-3 and 22:0. Formation of neither 22:0 nor 22:6 conjugated fatty acids was observed during 22:6n-3 metabolism. Extensive metabolism was observed at lower initial concentrations of 22:6n-3 (5, 10 and 20 mu g/mL) whereas increasing concentrations of 22:6n-3 (40 and 80 mu g/mL) inhibited its metabolism. Stearic acid formation (18:0) from 18:2n-6 by B. proteoclasticus P18 was retarded, but not completely inhibited, in the presence of 22:6n-3 and this effect was dependent on 22:6n-3 concentration.
Conclusions: For the first time, our study identified ruminal bacteria with the ability to hydrogenate 22:6n-3. The gradual appearance of intermediates indicates that biohydrogenation of 22:6n-3 by B. proteoclasticus P18 occurs by pathways of isomerization and hydrogenation resulting in a variety of unsaturated 22 carbon fatty acids. During the simultaneous presence of 18:2n-6 and 22:6n-3, B. proteoclasticus P18 initiated 22:6n-3 metabolism before converting 18:1 isomers into 18:0
Country differences in the diagnosis and management of coronary heart disease : a comparison between the US, the UK and Germany
Background
The way patients with coronary heart disease (CHD) are treated is partly determined by non-medical factors. There is a solid body of evidence that patient and physician characteristics influence doctors' management decisions. Relatively little is known about the role of structural issues in the decision making process. This study focuses on the question whether doctors' diagnostic and therapeutic decisions are influenced by the health care system in which they take place. This non-medical determinant of medical decision-making was investigated in an international research project in the US, the UK and Germany.
Methods
Videotaped patients within an experimental study design were used. Experienced actors played the role of patients with symptoms of CHD. Several alternative versions were taped featuring the same script with patients of different sex, age and social status. The videotapes were shown to 384 randomly selected primary care physicians in the three countries under study. The sample was stratified on gender and duration of professional experience. Physicians were asked how they would diagnose and manage the patient after watching the video vignette using a questionnaire with standardised and open-ended questions.
Results
Results show only small differences in decision making between British and American physicians in essential aspects of care. About 90% of the UK and US doctors identified CHD as one of the possible diagnoses. Further similarities were found in test ordering and lifestyle advice. Some differences between the US and UK were found in the certainty of the diagnoses, prescribed medications and referral behaviour. There are numerous significant differences between Germany and the other two countries. German physicians would ask fewer questions, they would order fewer tests, prescribe fewer medications and give less lifestyle advice.
Conclusion
Although all physicians in the three countries under study were presented exactly the same patient, some disparities in the diagnostic and patient management decisions were evident. Since other possible influences on doctors treatment decisions are controlled within the experimental design, characteristics of the health care system seem to be a crucial factor within the decision making process
Histiocytoid cardiomyopathy and microphthalmia with linear skin defects syndrome: phenotypes linked by truncating variants in NDUFB11
Variants in NDUFB11, which encodes a structural component of complex I of the mitochondrial respiratory chain (MRC), were recently independently reported to cause histiocytoid cardiomyopathy (histiocytoid CM) and microphthalmia with linear skin defects syndrome (MLS syndrome). Here we report an additional case of histiocytoid CM, which carries a de novo nonsense variant in NDUFB11 (ENST00000276062.8: c.262C > T; p.[Arg88*]) identified using whole-exome sequencing (WES) of a family trio. An identical variant has been previously reported in association with MLS syndrome. The case we describe here lacked the diagnostic features of MLS syndrome, but a detailed clinical comparison of the two cases revealed significant phenotypic overlap. Heterozygous variants in HCCS (which encodes an important mitochondrially targeted protein) and COX7B, which, like NDUFB11, encodes a protein of the MRC, have also previously been identified in MLS syndrome including a case with features of both MLS syndrome and histiocytoid CM. However, a systematic review of WES data from previously published histiocytoid CM cases, alongside four additional cases presented here for the first time, did not identify any variants in these genes. We conclude that NDUFB11 variants play a role in the pathogenesis of both histiocytoid CM and MLS and that these disorders are allelic (genetically related)
Bernardin Frankapan i Krbavska bitka: je li spasio sebe i malobrojne ili je pobjegao iz boja?
Veliki poraz hrvatske vojske od Osmanlija na Krbavskom polju 9. rujna 1493. predstavlja jednu od najvažnijih epizoda u dugotrajnom obrambenom ratu Hrvata protiv Osmanlija. Iako su uzroci i posljedice, pa i sam tijek bitke, veÄ u znatnoj mjeri prikazani u starijoj i novijoj hrvatskoj historiografiji, ipak su uloga i djelovanje kneza Bernardina Frankapana u samoj bitki i dogaÄajima koji su joj prethodili, ostali u znaÄajnoj mjeri nerasvijetljeni i nerazjaÅ”njeni. Autor na osnovi saÄuvanih pisanih i arheoloÅ”kih svjedoÄanstva, kao i nakon uvida na terenu, analizira dogaÄaje koji su prethodili Bernardinovu povlaÄenju iz bitke, pokuÅ”avajuÄi odgonetnuti uzroke i motive takova poteza. Isto tako, detaljnijim uvidom u saÄuvana pisana svjedoÄanstva o dogaÄajima prije Krbavske bitke, pokuÅ”ava objasniti odnose izmeÄu bana DerenÄina i knezova Frankapana.The great defeat of Croatian army against ottoman troops in the battle of Krbava field (9th September 1493) is one of the most important episode in longālasting defensive war against Ottoman Empire. Although, the causes and the consequences, and the very duration of the battle, are already elaborated in older and newer Croatian historiography, the role and actions of the duke Bernardin Frankapan in the events before battle and in the battle are still not illuminated and dismissed. Analyzing the written sources and archeological artifacts, author describes events that are preceded Bernardinās evacuation from the battle. He is, also, trying to figure out the motives and causes of such actions. Further more, by detailing analysis of written sources about events before battle of Krbava field, author clarifies relationships between banus DerenÄin and ducal family of Frankapan
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