181 research outputs found
A self-matched leaky-wave antenna for ultrahigh-field magnetic resonance imaging with low specific absorption rate
The technology of magnetic resonance imaging is developing towards higher magnetic fields to improve resolution and contrast. However, whole-body imaging at 7 T or even higher flux densities remains challenging due to wave interference, tissue inhomogeneities, and high RF power deposition. Nowadays, proper RF excitation of a human body in prostate and cardiac MRI is only possible to achieve by using phased arrays of antennas attached to the body (so-called surface coils). Due to safety concerns, the design of such coils aims at minimization of the local specific absorption rate (SAR), keeping the highest possible RF signal in the region of interest. Most previously demonstrated approaches were based on resonant structures such as e.g. dipoles, capacitively-loaded loops, TEM-line sections. In this study, we show that there is a better compromise between the transmit signal B1+ and the local SAR using non-resonant surface coils generating a low electric field in the proximity of their conductors. With this aim, we propose and experimentally demonstrate a leaky-wave antenna implemented as a periodically-slotted microstrip transmission line. Due to its non-resonant radiation, it induces only slightly over half the peak local SAR compared to a state-of-the-art dipole antenna but has the same transmit efficiency in prostate imaging at 7 T. Unlike other antennas for MRI, the leaky-wave antenna does not require to be tuned and matched when placed on a body, which makes it easy-to-use in prostate imaging at 7 T MRI
Autonomic neuropathy predisposes to rosiglitazone-induced vascular leakage in insulin-treated patients with type 2 diabetes: a randomised, controlled trial on thiazolidinedione-induced vascular leakage
Contains fulltext :
88447.pdf (publisher's version ) (Closed access)AIMS/HYPOTHESIS: The mechanism of fluid-related complications caused by thiazolidinedione derivatives is unclear. One potential mechanism is thiazolidinedione-induced arterial vasodilatation, which results in vascular leakage and a fall in blood pressure, normally counterbalanced by sympathetic activation and subsequent renal fluid retention. We hypothesised that thiazolidinedione-induced vascular leakage will be particularly prominent in patients with autonomic neuropathy. METHODS: We conducted a randomised, double-blind, placebo-controlled, parallel study in 40 patients with type 2 diabetes on insulin treatment recruited from a university medical centre. The randomisation was performed by a central office using a randomisation schedule. Both treatment groups, placebo (n = 21) and rosiglitazone (n = 19), were stratified for sex and level of autonomic neuropathy as assessed by Ewing score (or=2.5). We investigated the effects of 16 weeks of treatment with rosiglitazone 4 mg twice daily on vascular leakage (transcapillary escape rate of albumin, TERalb), body weight, extracellular volume and plasma volume. RESULTS: Thirty-nine patients were included in the analysis. In patients with high Ewing scores (n = 16), rosiglitazone increased TERalb significantly (DeltaTERalb: rosiglitazone +2.43 +/- 0.45%/h, placebo -0.11 +/- 0.15%/h, p = 0.002), while rosiglitazone had no effect in the patients with low Ewing scores (n = 23). Rosiglitazone-induced increases in TERalb and Ewing score at baseline were correlated (r = 0.65, p = 0.02). There was no correlation between Ewing score and rosiglitazone-induced changes in fluid variables. One subject was withdrawn from the study because of atrial fibrillation. CONCLUSIONS/INTERPRETATION: Rosiglitazone may increase vascular leakage in insulin-treated patients with type 2 diabetes with autonomic neuropathy. Autonomic neuropathy did not exaggerate rosiglitazone-induced fluid retention. Therefore, autonomic neuropathy should be considered as a risk factor for thiazolidinedione-induced oedema, not for thiazolidinedione-induced fluid retention. TRIAL REGISTRATION: ClinicalTrials.gov NCT00422955. FUNDING: GlaxoSmithKline.1 september 201
âBetter late than neverâ: the interplay between green technology and age for firm growth
This paper investigates the relationship between green/non-green technologies and firm growth. By combining the literature on eco-innovations, industrial organisation and entrepreneurial studies, we examine the dependence of this relationship on the pace at which firms grow and the age of the firm. From a dataset of 5498 manufacturing firms in Italy for the period of 2000â2008, longitudinal fixed effects quantile models are estimated, in which the firmâs age is set to moderate the effects of green and non-green patents on employment growth. We find that the positive effect of green technologies on growth is greater than that of non-green technologies. However, this result does not apply to struggling and rapidly growing firms. With fast-growing (above the median) firms, age moderates the growth effect of green technologies. Inconsistent with the extant literature, this moderation effect is positive: firm experience appears important for the growth benefits of green technologies, possibly relative to the complexity of their management
A framework to move forward on the path to eco-innovation in the construction industry: implications to improve firmsÂŽ sustainable orientation
This paper examines key aspects in the innovative behavior of the
construction firms that determine their environmental orientation while innovating.
Structural equation modeling was used and data of 222 firms retrieved from the
Spanish Technological Innovation Panel (PITEC) for 2010 to analyse the drivers of
environmental orientation of the construction firms during the innovation process.
The results show that the environmental orientation is positively affected by the
product and process orientation of construction firms during the innovation process.
Furthermore, the positive relation between the importance of market information
sources and environmental orientation, mediated by process and product orientation,
is discussed. Finally, a model that explains these relations is proposed and validated.
Results have important managerial implications for those companies worried about
their eco-innovative focus as the types of actions and relations within firms most
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The Phenotypic Spectrum of PNKP-Associated Disease and the Absence of Immunodeficiency and Cancer Predisposition in a Dutch Cohort
Background: We aimed to expand the number of currently known pathogenic PNKP mutations, to study
the phenotypic spectrum, including radiological characteristics and genotype-phenotype correlations,
and to assess whether immunodeficiency and increased cancer risk are part of the DNA repair disorder
caused by mutations in the PNKP gene.
Methods: We evaluated nine patients with PNKP mutations. A neurological history and examination was
obtained. All patients had undergone neuroimaging and genetic testing as part of the prior diagnostic
process. Laboratory measurements included potential biomarkers, and, in the context of a DNA repair
disorder, we performed a detailed immunologic evaluation, including B cell repertoire analysis.
Results: We identified three new mutations in the PNKP gene and confirm the phenotypic spectrum of
PNKP-associated disease, ranging from microcephaly, seizures, and developmental delay to ataxia with
oculomotor apraxia type 4. Irrespective of the phenotype, alpha-fetoprotein is a biochemical marker and
increases with age and progression of the disease. On neuroimaging, (progressive) cerebellar atrophy was
a universal feature. No clinical signs of immunodeficiency were present, and immunologic assessment
was unremarkable. One patient developed cancer, but this was attributed to a concurrent von HippelLindau mutation.
Conclusions: Immunodeficiency and cancer predisposition do not appear to be part of PNKP-associated
disease, contrasting many other DNA repair disorders. Furthermore, our study illustrates that the previously described syndromes microcephaly, seizures, and developmental delay, and ataxia with oculomotor apraxia type 4, represent the extremes of an overlapping spectrum of disease. Cerebellar atrophy and elevated serum alpha-fetoprotein levels are early diagnostic findings across the entire phenotypical
spectrum
The Relationship between Environmental Efficiency and Manufacturing Firm's Growth
This paper investigates the empirical link between emission intensity and economic growth, using a very large data set of 61,219 Italian manufacturing firms over the period 2000-2004. As a measure of lagged environmental performance (efficiency) at firm level we exploit NAMEA sector for CO2, NOx, SOx data over 1990-1999. The paper tests the extent to which (past) environmental efficiency/intensity, which is driven by structural features and firm strategic actions, including responses to policies, influences firms growth. Our results show, first, a typical trade off generally appearing for the three core environmental emissions we analyse: lower environmentally efficiency in the recent past allows higher degrees of freedom to firms and relax the constraints for growth, at least in this short/medium term scenario. Nevertheless, the size of the estimated coefficients is not large. Trade offs are significant for two emission indicators out of two, but quite negligible in terms of impacts, besides the case of CO2. For example, growth is reduced by far less than 0.1% in association to a 1% increase of environmental efficiency. In addition, non-linearity seems to characterise the economic growth-environmental performance relationship. Signals of inverted U shape appear: this may be a signal that both firm strategies and recent policy efforts are affecting the dynamic relationship between environmental efficiency and economic productivity, turning it from an usual trade off to a possible joint complementary/co-dynamics
Green process innovation: Where we are and where we are going
Environmental pollution has worsened in the past few decades, and increasing pressure is being put on firms by different regulatory bodies, customer groups, NGOs and other media outlets to adopt green process innovations (GPcIs), which include clean technologies and end-of-pipe solutions. Although considerable studies have been published on GPcI, the literature is disjointed, and as such, a comprehensive understanding of the issues, challenges and gaps is lacking. A systematic literature review (SLR) involving 80 relevant studies was conducted to extract seven themes: strategic response, organisational learning, institutional pressures, structural issues, outcomes, barriers and methodological choices. The review thus highlights the various gaps in the GPcI literature and illuminates the pathways for future research by proposing a series of potential research questions. This study is of vital importance to business strategy as it provides a comprehensive framework to help firms understand the various contours of GPcI. Likewise, policymakers can use the findings of this study to fill in the loopholes in the existing regulations that firms are exploiting to circumvent taxes and other penalties by locating their operations to emerging economies with less stringent environmental regulations.publishedVersio
The role of innovation and agglomeration for employment growth in the environmental sector
The environmental sector is supposed to yield a dual benefit: its goods and services are intended to help to tackle environmental challenges and its establishments should create new jobs. However, it is still unclear in empirical terms whether that really is the case. This paper investigates whether employment growth in 'green' establishments with 'green' products and services is higher compared to other establishments. Furthermore, the main factors determining labor demand in this field are analyzed. We use linked employment and regional data for Germany. The descriptive results show that the environmental sector is characterized by disproportionately high employment growth. The application of both a generalized linear mixed model and an instrumental variables regression reveals that especially innovation and industry agglomeration foster employment growth in establishments in the environmental sector. Establishments without green products and services show a smaller increase in employment, even if they are also innovative.Der Umweltschutzsektor verspricht einen doppelten Nutzen: seine GĂŒter und Dienstleistungen sollen dazu beitragen, die ökologischen Herausforderungen zu bewĂ€ltigen und gleichzeitig sollen dadurch neue ArbeitsplĂ€tze geschaffen werden. Ob dies wirklich der Fall ist, ist bislang jedoch nicht nachgewiesen. In unserem Artikel untersuchen wir zum einen, ob das BeschĂ€ftigungswachstum in "grĂŒnen" Betrieben tatsĂ€chlich höher ist als in anderen Betrieben. Zum anderen analysieren wir die Determinanten der ArbeitskrĂ€ftenachfrage im Umweltschutzsektor. Wir verwenden verknĂŒpfte BeschĂ€ftigten- und Regionaldaten fĂŒr Deutschland. Unsere deskriptiven Ergebnisse zeigen, dass der Umweltschutzsektor durch ein ĂŒberproportionales BeschĂ€ftigungswachstum gekennzeichnet ist. Unsere ökonometrische Analyse auf der Basis eines verallgemeinerten linearen gemischten Modells und einer InstrumentenschĂ€tzung zeigt, dass insbesondere Innovationen und Agglomerationseffekte das BeschĂ€ftigungswachstum in Umweltschutzbetrieben fördern. Betriebe ohne Umweltprodukte oder -dienstleistungen weisen dagegen ein geringeres BeschĂ€ftigungswachstum auf, selbst wenn es sich um innovative Betriebe handelt
Assessing the Impact of Support Policies for Energy Efficient Technology in Switzerland
This study uses data of a representative sample of Swiss firms to assess the effectiveness of policy measures directed at the diffusion of energy effcient technology (EET). Three different outcome variables (number of EET applications implemented, CO2 reduction, and EET related investment) are analysed using methods based on the estimated propensity score in an attempt to overcome the problem of non-random assignment. I conclude that, even after controlling for non-random assignment, diffusion support from the two institutions taken into consideration has indeed been beneficial in spurring adoption of energy saving technology and in reducing emissions of CO2. Additionally, an estimator for Average Treatment Effects on the Treated (ATT) that directly relies on the propensity score has been found to produce better results, in terms of efficiency, than the widely used Nearest Neighbour Matching (NNM) procedure
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