837 research outputs found
Phase diagram for morphological transitions of wetting films on chemically structured substrates
Using an interface displacement model we calculate the shapes of thin
liquidlike films adsorbed on flat substrates containing a chemical stripe. We
determine the entire phase diagram of morphological phase transitions in these
films as function of temperature, undersaturation, and stripe widthComment: 15 pages, RevTeX, 7 Figure
Geometry dominated fluid adsorption on sculptured substrates
Experimental methods allow the shape and chemical composition of solid
surfaces to be controlled at a mesoscopic level. Exposing such structured
substrates to a gas close to coexistence with its liquid can produce quite
distinct adsorption characteristics compared to that occuring for planar
systems, which may well play an important role in developing technologies such
as super-repellent surfaces or micro-fluidics. Recent studies have concentrated
on adsorption of liquids at rough and heterogeneous substrates and the
characterisation of nanoscopic liquid films. However, the fundamental effect of
geometry has hardly been addressed. Here we show that varying the shape of the
substrate can exert a profound influence on the adsorption isotherms allowing
us to smoothly connect wetting and capillary condensation through a number of
novel and distinct examples of fluid interfacial phenomena. This opens the
possibility of tailoring the adsorption properties of solid substrates by
sculpturing their surface shape.Comment: 6 pages, 4 figure
Universality for 2D Wedge Wetting
We study 2D wedge wetting using a continuum interfacial Hamiltonian model
which is solved by transfer-matrix methods. For arbitrary binding potentials,
we are able to exactly calculate the wedge free-energy and interface height
distribution function and, thus, can completely classify all types of critical
behaviour. We show that critical filling is characterized by strongly universal
fluctuation dominated critical exponents, whilst complete filling is determined
by the geometry rather than fluctuation effects. Related phenomena for
interface depinning from defect lines in the bulk are also considered.Comment: 4 pages, 1 figur
Nonperturbative versus perturbative effects in generalized parton distributions
Generalized parton distributions (GPDs) are studied at the hadronic
(nonperturbative) scale within different assumptions based on a relativistic
constituent quark model. In particular, by means of a meson-cloud model we
investigate the role of nonperturbative antiquark degrees of freedom and the
valence quark contribution. A QCD evolution of the obtained GPDs is used to add
perturbative effects and to investigate the GPDs' sensitivity to the
nonperturbative ingredients of the calculation at larger (experimental) scale.Comment: 17 pages, 10 figures; submitted to Phys. Rev.
Spin-Dependent Twist-Four Matrix Elements from g_1 Data in the Resonance Region
Matrix elements of spin-dependent twist-four operators are extracted from
recent data on the spin-dependent g_1 structure function of the proton and
deuteron in the resonance region. We emphasize the need to include the elastic
contributions to the first moments of the structure functions at Q^2 < 2 GeV^2.
The coefficients of the 1/Q^2 corrections to the Ellis-Jaffe sum rules are
found to be 0.04 \pm 0.02 and 0.03 \pm 0.04 GeV^2 for the proton and neutron,
respectively.Comment: 10 pages REVTeX, 4 figure
Chiral extrapolation of lattice moments of proton quark distributions
We present the resolution of a long-standing discrepancy between the moments
of parton distributions calculated from lattice QCD and their experimental
values. We propose a simple extrapolation formula for the moments of the
nonsinglet quark distribution u-d, as a function of quark mass, which embodies
the general constraints imposed by the chiral symmetry of QCD. The inclusion of
the leading nonanalytic behavior leads to an excellent description of both the
lattice data and the experimental values of the moments.Comment: 9 pages, 1 figure, to appear in Physical Review Letter
Ethnic In-Group Favoritism Among Minority and Majority Groups: Testing the Self-Esteem Hypothesis Among Preadolescents
The self-esteem hypothesis in intergroup relations, as proposed by social identity
theory (SIT), states that successful intergroup discrimination enhances momentary
collective self-esteem. This hypothesis is a source of continuing controversy. Furthermore,
although SIT is increasingly used to account for children’s group attitudes,
few studies have examined the hypothesis among children. In addition, the
hypothesis’s generality makes it important to study among children from different
ethnic groups. The present study, conducted among Dutch and Turkish preadolescents,
examined momentary collective self-feelings as a consequence of ethnic group
evaluations. The results tended to support the self-esteem hypothesis. In-group
favoritism was found to have a self-enhancing effect among participants high in
ethnic identification. This result was found for ethnic majority (Dutch) and minority
(Turkish) participants.
Enumeration of CD4+ T-Cells Using a Portable Microchip Count Platform in Tanzanian HIV-Infected Patients
Background
CD4+ T-lymphocyte count (CD4 count) is a standard method used to monitor HIV-infected patients during anti-retroviral therapy (ART). The World Health Organization (WHO) has pointed out or recommended that a handheld, point-of-care, reliable, and affordable CD4 count platform is urgently needed in resource-scarce settings.
Methods
HIV-infected patient blood samples were tested at the point-of-care using a portable and label-free microchip CD4 count platform that we have developed. A total of 130 HIV-infected patient samples were collected that included 16 de-identified left over blood samples from Brigham and Women's Hospital (BWH), and 114 left over samples from Muhimbili University of Health and Allied Sciences (MUHAS) enrolled in the HIV and AIDS care and treatment centers in the City of Dar es Salaam, Tanzania. The two data groups from BWH and MUHAS were analyzed and compared to the commonly accepted CD4 count reference method (FACSCalibur system).
Results
The portable, battery operated and microscope-free microchip platform developed in our laboratory (BWH) showed significant correlation in CD4 counts compared with FACSCalibur system both at BWH (r = 0.94, p<0.01) and MUHAS (r = 0.49, p<0.01), which was supported by the Bland-Altman methods comparison analysis. The device rapidly produced CD4 count within 10 minutes using an in-house developed automated cell counting program.
Conclusions
We obtained CD4 counts of HIV-infected patients using a portable platform which is an inexpensive (<$1 material cost) and disposable microchip that uses whole blood sample (<10 µl) without any pre-processing. The system operates without the need for antibody-based fluorescent labeling and expensive fluorescent illumination and microscope setup. This portable CD4 count platform displays agreement with the FACSCalibur results and has the potential to expand access to HIV and AIDS monitoring using fingerprick volume of whole blood and helping people who suffer from HIV and AIDS in resource-limited settings.Wallace H. Coulter Foundation (Young Investigation Award in Bioengineering Award)National Institutes of Health (U.S.) (NIH R01AI081534)National Institutes of Health (U.S.) (NIH R21AI087107)National Institutes of Health (U.S.) (NIH grant RR016482)National Institutes of Health (U.S.) (grant AI060354)National Institutes of Health (U.S.) (NIH Fogarty Fellowship
An Integrated Literature Review of Time-on-Task Effects With a Pragmatic Framework for Understanding and Improving Decision-Making in Multidisciplinary Oncology Team Meetings
Multidisciplinary oncology team meetings (MDMs) or tumor boards, like other MDMs in healthcare, facilitate the incorporation of diverse clinical expertise into treatment planning for patients. Decision-making (DM) in relation to treatment planning in MDMs is carried out repeatedly until all patients put forward for discussion have been reviewed. Despite continuing financial pressure and staff shortages, the workload of cancer MDMs, and therefore meeting duration continue to increase (up to 5 h) with patients often receiving less than 2 min of team input. This begs the question as to whether the current set-up is conducive to achieve optimal DM, which these multi-specialty teams were set out to achieve in the first place. Much of what it is known, however, about the effects of prolonged cognitive activity comes from various subfields of science, leaving a gap in applied knowledge relating to complex healthcare environments. The objective of this review was thus to synthesize theory, evidence and clinical practice in order to bring the current understanding of prolonged, repeated DM into the context of cancer MDMs. We explore how and why time spent on a task affects performance in such settings, and what strategies can be employed by cancer teams to counteract negative effects and improve quality and safety. In the process, we propose a pragmatic framework of repeated DM that encompasses the strength, the process and the cost-benefit models of self-control as applied to real-world contexts of cancer MDMs. We also highlight promising research avenues for closing the research-to-practice gap. Theoretical and empirical evidence reviewed in this paper suggests that over prolonged time spent on a task, repeated DM is cognitively taxing, leading to performance detriments. This deterioration is associated with various cognitive-behavioral pitfalls, including decreased attentional capacity and reduced ability to effectively evaluate choices, as well as less analytical DM and increased reliance on heuristics. As a short to medium term improvement for ensuring safety, consistently high quality of care for all patients, and the clinician wellbeing, future research and interventions in cancer MDMs should address time-on-task effects with a combination of evidence-based cognitive strategies. We propose in this review multiple measures that range from food intake, short breaks, rewards, and mental exercises. As a long term imperative, however, capacity within cancer services needs to be reviewed as well as how best to plan workforce development and service delivery models to achieve population coverage whilst maintaining safety and quality of care. Hence the performance detriments that arise in healthcare workers as a result of the intensity (time spent on a task) and complexity of the workload require not only more research, but also wider regulatory focus and recognition
A comparison of multidisciplinary team residential rehabilitation with conventional outpatient care for the treatment of non-arthritic intra-articular hip pain in UK Military personnel:a protocol for a randomised controlled trial
BACKGROUND: Non-arthritic hip disorders are defined as abnormalities of the articulating surfaces of the acetabulum and femur before the onset of osteoarthritis, including intra-articular structures such as the acetabular labrum and chondral surfaces. Abnormal femoroacetabular morphology is commonly seen in young men who constitute much of the UK military population. Residential multidisciplinary team (MDT) rehabilitation for patients with musculoskeletal injuries has a long tradition in the UK military, however, there are no studies presenting empirical data on the efficacy of a residential MDT approach compared with individualised conventional outpatient treatment. With no available data, the sustainability of this care pathway has been questioned. The purpose of this randomised controlled trial is to compare the effects of a residential multidisciplinary intervention, to usual outpatient care, on the clinical outcomes of young active adults undergoing treatment for non-arthritic intra-articular hip pain. METHODS/DESIGN: The trial will be conducted at the Defence Medical Rehabilitation Centre, Headley Court, UK. One hundred military male participants with clinical indicators of non-arthritic intra-articular hip pain will be randomly allocated to either: (1) 7-day residential multidisciplinary team intervention, n = 50; (2) 6-week physiotherapist-led outpatient intervention (conventional care), n = 50. Measurements will be taken at baseline, post-treatment (1-week MDT group; 6-weeks physiotherapy group), and 12-weeks. The primary outcome measures are the function in daily living sub-scale of the Copenhagen Hip and Groin Outcome Score (HAGOS), the physical function subscale of the Non-arthritic Hip Score (NAHS), and VAS pain scale. Secondary outcomes include objective measures of physical capacity and general health. An intention-to-treat analysis will be performed using linear and mixed models. DISCUSSION: This study will be the first to assess the efficacy of intensive MDT rehabilitation, versus conventional outpatient care, for the management of non-arthritic hip pain. The results from this study will add to the evidence-base and inform clinical practice for the management of intra-articular non-arthritic hip pain and femoroacetabular impingement in young active adults. TRIAL REGISTRATION: ISRCTN Reference: ISRCTN 59255714 dated 11-Nov-2015 ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12891-016-1309-z) contains supplementary material, which is available to authorized users
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