Large Attractive Depletion Interactions in Soft Repulsive-Sphere Binary Mixtures

We consider binary mixtures of soft repulsive spherical particles and calculate the depletion interaction between two big spheres mediated by the fluid of small spheres, using different theoretical and simulation methods. The validity of the theoretical approach, a virial expansion in terms of the density of the small spheres, is checked against simulation results. Attention is given to the approach toward the hard-sphere limit, and to the effect of density and temperature on the strength of the depletion potential. Our results indicate, surprisingly, that even a modest degree of softness in the pair potential governing the direct interactions between the particles may lead to a significantly more attractive total effective potential for the big spheres than in the hard-sphere case. This might lead to significant differences in phase behavior, structure and dynamics of a binary mixture of soft repulsive spheres. In particular, a perturbative scheme is applied to predict the phase diagram of an effective system of big spheres interacting via depletion forces for a size ratio of small and big spheres of 0.2; this diagram includes the usual fluid-solid transition but, in the soft-sphere case, the metastable fluid-fluid transition, which is probably absent in hard-sphere mixtures, is close to being stable with respect to direct fluid-solid coexistence. From these results the interesting possibility arises that, for sufficiently soft repulsive particles, this phase transition could become stable. Possible implications for the phase behavior of real colloidal dispersions are discussed.Comment: 31 pages, 8 figures; version accepted for publication in the Journal of Chemical Physic

Colloidal stabilization via nanoparticle haloing

We present a detailed numerical study of effective interactions between micron-sized silica spheres, induced by highly charged zirconia nanoparticles. It is demonstrated that the effective interactions are consistent with a recently discovered mechanism for colloidal stabilization. In accordance with the experimental observations, small nanoparticle concentrations induce an effective repulsion that counteracts the intrinsic van der Waals attraction between the colloids and thus stabilizes the suspension. At higher nanoparticle concentrations an attractive potential is recovered, resulting in reentrant gelation. Monte Carlo simulations of this highly size-asymmetric mixture are made possible by means of a geometric cluster Monte Carlo algorithm. A comparison is made to results obtained from the Ornstein-Zernike equations with the hypernetted-chain closure

Tuberculosis immunopathology: the neglected role of extracellular matrix destruction

The extracellular matrix in the lung must be destroyed for Mycobacterium tuberculosis—the agent that causes tuberculosis (TB)—to spread. The current paradigm proposes that this destruction occurs as a result of the action of proinflammatory cytokines, chemokines, immune cells, and lipids that mediate TB-associated necrosis in the lung. However, this view neglects the fact that lung matrix can only be degraded by proteases. We propose an original conceptual framework of TB immunopathology that may lead directly to treatments that involve inhibition of matrix metalloproteinase activity to hinder matrix destruction and reduce the morbidity and mortality associated with T

RESPOND – A patient-centred program to prevent secondary falls in older people presenting to the emergency department with a fall: Protocol for a multi-centre randomised controlled trial

Introduction: Participation in falls prevention activities by older people following presentation to the Emergency Department (ED) with a fall is suboptimal. This randomised controlled trial (RCT) will test the RESPOND program which is designed to improve older persons’ participation in falls prevention activities through delivery of patient-centred education and behaviour change strategies. Design and setting: An RCT at two tertiary referral EDs in Melbourne and Perth, Australia. Participants: Five-hundred and twenty eight community-dwelling people aged 60-90 years presenting to the ED with a fall and discharged home will be recruited. People who: require an interpreter or hands-on assistance to walk; live in residential aged care or >50 kilometres from the trial hospital; have terminal illness, cognitive impairment, documented aggressive behaviour or history of psychosis; are receiving palliative care; or are unable to use a telephone will be excluded. Methods: Participants will be randomly allocated to the RESPOND intervention or standard care control group. RESPOND incorporates: (1) home-based risk factor assessment; (2) education, coaching, goal setting, and follow-up telephone support for management of one or more of four risk factors with evidence of effective intervention; and (3) healthcare provider communication and community linkage delivered over six months. Primary outcomes are falls and fall injuries per-person-year. Discussion: RESPOND builds on prior falls prevention learnings and aims to help individuals make guided decisions about how they will manage their falls risk. Patient-centred models have been successfully trialled in chronic and cardiovascular disease however evidence to support this approach in falls prevention is limited. Trial registration. The protocol for this study is registered with the Australian New Zealand Clinical Trials Registry (ACTRN12614000336684)

On the massive star content of the nearby dwarf irregular Wolf-Rayet galaxy IC 4662

Aims. We investigate the massive stellar content of the nearby dwarf irregular Wolf-Rayet galaxy IC 4662, and consider its global star forming properties in the context of other metal-poor galaxies, the SMC, IC 10 and NGC 1569. Methods. Very Large Telescope/FORS2 imaging and spectroscopy plus archival Hubble Space Telescope/ACS imaging datasets permit us to spatially identify the location, number and probable subtypes of Wolf-Rayet stars within this galaxy. We also investigate suggestions that a significant fraction of the ionizing photons of the two giant H II regions A1 and A2 lie deeply embedded within these regions. Results. Wolf-Rayet stars are associated with a number of sources within IC 4662-A1 and A2, plus a third compact H II region to the north west of A1 (A1-NW). Several sources appear to be isolated, single (or binary) luminous nitrogen sequence WR stars, while extended sources are clusters whose masses exceed the Orion Nebula Cluster by, at most, a factor of two. IC 4662 lacks optically visible young massive, compact clusters that are common in other nearby dwarf irregular galaxies. A comparison between radio and H-derived ionizing fluxes of A1 and A2 suggests that 30–50% of their total Lyman continuum fluxes lie deeply embedded within these regions. Conclusions. The star formation surface density of IC 4662 is insufficient for this galaxy to qualify as a starburst galaxy, based upon its photometric radius, R25. If instead, we were to adopt the

Is knife seizure imagery an effective crime deterrent? A multi-method study

The urgency to reduce knife carrying has been recognised by the police services in Scotland and has been addressed by the introduction of various initiatives to deter knife carrying and crime. One tactic includes the sharing of knife seizure images, where pictures of knives recovered by police are shared on media outlets, however, little research has explored whether this is an effective deterrent. The study sought to explore adults' views of the use of knife images as a deterrent to carrying knives utilising a multi-method approach: (1) a cross-sectional online survey (n= 553), and (2) individual, online semi-structured interviews with adults (n = 20). Fearful, worried and angry reactions towards the use of knife seizure images were expressed among adults and concern was raised that the use of such images may reinforce rather than deter knife carrying. Adults expressed concerns that the use of such images served to reinforce negative stereotypes and stigma within communities affected by high knife crime. The implications of these findings emphasise the limitations to the use of knife seizure images as a deterrent against knife carrying and the importance of community involvement in developing preventative and non-discriminatory approaches to tackling knife carrying throughout Scotland

Design and rationale of the B-lines lung ultrasound guided emergency department management of acute heart failure (BLUSHED-AHF) pilot trial

Background Medical treatment for acute heart failure (AHF) has not changed substantially over the last four decades. Emergency department (ED)-based evidence for treatment is limited. Outcomes remain poor, with a 25% mortality or re-admission rate within 30 days post discharge. Targeting pulmonary congestion, which can be objectively assessed using lung ultrasound (LUS), may be associated with improved outcomes. Methods BLUSHED-AHF is a multicenter, randomized, pilot trial designed to test whether a strategy of care that utilizes a LUS-driven treatment protocol outperforms usual care for reducing pulmonary congestion in the ED. We will randomize 130 ED patients with AHF across five sites to, a) a structured treatment strategy guided by LUS vs. b) a structured treatment strategy guided by usual care. LUS-guided care will continue until there are ≤15 B-lines on LUS or 6h post enrollment. The primary outcome is the proportion of patients with B-lines ≤ 15 at the conclusion of 6 h of management. Patients will continue to undergo serial LUS exams during hospitalization, to better understand the time course of pulmonary congestion. Follow up will occur through 90 days, exploring days-alive-and-out-of-hospital between the two arms. The study is registered on ClinicalTrials.gov (NCT03136198). Conclusion If successful, this pilot study will inform future, larger trial design on LUS driven therapy aimed at guiding treatment and improving outcomes in patients with AHF

Vertical distribution and migration of fish larvae in the NW Iberian upwelling system during the winter mixing period: implications for cross-shelf distribution

The vertical distribution and vertical migrations of fish larvae and implications for their cross-shelf distribution were investigated in the northern limit of the NE Atlantic upwelling region during the late winter mixing period of 2012. The average positive values of the upwelling index for February and March of this year were far from normal, although the average hydrographic conditions during the period of study were of downwelling and the water column was completely mixed. Fish larvae, most in the preflexion stage, were concentrated in the upper layers of the water column and their distribution was depth stratified, both day and night. However, the larval fish community was not structured in the vertical plane and fish larvae did not show significant diel vertical migration (DVM), although five species showed ontogenetic vertical migration. In regions of coastal upwelling and in the absence of DVM, the location of fish larvae in the water column is crucial for their cross-shelf distribution. Thus, the cross-shelf distribution of the six most abundant species collected in this study can be explained by the surface onshore flow associated with coastal downwelling, retaining larvae of the coastal spawning species with a relatively shallow distribution in the shelf region and transporting larvae of slope spawning species onto the shelf. The wide vertical distribution shown by larvae of the offshore spawning species could be an adaptation of these species to ensure that some larvae reach the inshore nursery areasPlan Nacional de I+D+i (CRAMERCTM2010- 21856-CO3-02), Junta de Galicia (ECOPREGA-10MMA602021PR), Principado de Asturias (GRUPIN14-144)Postprint2,044

Curvature-induced stiffness and the spatial variation of wavelength in wrinkled sheets

Wrinkle patterns in compressed thin sheets are ubiquitous in nature and technology, from the furrows on our foreheads to crinkly plant leaves, from ripples on plastic-wrapped objects to the protein film on milk. The current understanding of an elementary descriptor of wrinkles—their wavelength—is restricted to deformations that are parallel, spatially uniform, and nearly planar. However, most naturally occurring wrinkles do not satisfy these stipulations. Here we present a scheme that quantitatively explains the wrinkle wavelength beyond such idealized situations. We propose a local law that incorporates both mechanical and geometrical effects on the spatial variation of wrinkle wavelength. Our experiments on thin polymer films provide strong evidence for its validity. Understanding how wavelength depends on the properties of the sheet and the underlying liquid or elastic subphase is crucial for applications where wrinkles are used to sculpt surface topography, to measure properties of the sheet, or to infer forces applied to a film