Adaptive Control Based on Retrospective Cost Optimization

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/83558/1/AIAA-46741-507.pd

Particle characteristics of microplastics contaminating the mussel Mytilus edulis and their surrounding environments

This is the final version. Available on open access from Elsevier via the DOI in this recordWe investigated the environmental partitioning and particle characteristics of macro-, meso- and microplastics and their uptake into the mussel, Mytilus edulis. Sediment samples, overlying seawater and mussels from 9 intertidal locations in the South West of England were analysed for abundance and type of microplastic. Micro- and mesoplastic-like particles were found in 88.5% of the 269 mussels sampled, ranging from 1.43 to 7.64 items per mussel. Of these plastic particles, 70.9% were identified as semi-synthetic (mainly modified-cellulose). Mussel microplastic abundance, but not polymer type, was correlated with that of their surrounding sediment, but not with sea-surface microplastic concentration or mussel size for our study sites. We found significant differences in the relative abundance of polymer types and particle sizes between seawater, sediment, and mussels, with mussels over-representing modified-cellulose fibre abundance but under-representing polyvinyl. Mussels contained significantly smaller plastic fragments than their surrounding sediment and shorter fibres than their overlying seawater

Unsteady low-Reynolds number flow control in different regimes

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/106476/1/AIAA2013-353.pd

Proliferative and apoptotic pathways in the testis of quail coturnix coturnix during the seasonal reproductive cycle

The quail Coturnix coturnix is a seasonal breeding species, with the annual reproductive cycle of its testes comprising an activation phase and a regression phase. Our previous results have proven that the testicular levels of both 17β‐estradiol (E2) and androgens are higher during the reproductive period compared to the non‐reproductive period, which led us to hypothesize that estrogens and androgens may act synergistically to initiate spermatogenesis. The present study was, therefore, aimed to investigate the estrogen responsive system in quail testis in relation to the reproduction seasonality, with a focus on the molecular pathways elicited in both active and regressive quail testes. Western blotting and immunohistochemistry analysis revealed that the expression of ERα, which is the predominant form of estrogen receptors in quail testis, was correlated with E2 concentration, suggesting that increased levels of E2‐induced ERα could play a key role in the resumption of spermatogenesis during the reproductive period, when both PCNA and SYCP3, the mitotic and meiotic markers, respectively, were also increased. In the reproductive period we also found the activation of the ERK1/2 and Akt‐1 kinase pathways and an increase in second messengers cAMP and cGMP levels. In the non‐reproductive phase, when the E2/ERα levels were low, the inactivation of ERK1/2 and Akt‐1 pathways favored apoptotic events due to an increase in the levels of Bax and cytochrome C, with a consequent regression of the gonad

Re-examining advice to complete antibiotic courses: a qualitative study with clinicians and patients

BACKGROUND: Antibiotic treatment duration may be longer than sometimes needed. Stopping antibiotics early, rather than completing pre-set antibiotic courses, may help reduce unnecessary exposure to antibiotics and antimicrobial resistance (AMR). AIM: To identify clinicians' and patients' views on stopping antibiotics when better (SAWB) for urinary tract infections (UTIs), and to explore comparisons with other acute infections. DESIGN & SETTING: An exploratory qualitative study with general practice clinicians and patients in England. METHOD: Primary care clinicians and patients who had recent UTI experience were recruited in England. Remote one-to-one interviews with clinicians and patients, and one focus group with patients, were conducted. Data were audiorecorded, transcribed, and analysed thematically. RESULTS: Eleven clinicians (seven GPs) and 19 patients (14 with experience of recurrent and/or chronic UTIs) were included. All participants considered SAWB unfamiliar and contradictory to well-known advice to complete antibiotic courses, but were interested in the evidence for risks and benefits of SAWB. Clinicians were amenable if evidence and guidelines supported it, whereas patients were more averse because of concerns about the risk of UTI recurrence and/or complications and AMR. Participants viewed SAWB as potentially more appropriate for longer antibiotic courses and other infections (with longer courses and lower risk of recurrence and/or complications). Participants stressed the need for unambiguous advice and SAWB as part of shared decision making and personalised advice. CONCLUSION: Patients were less accepting of SAWB, whereas clinicians were more amenable to it. Patients and clinicians require good evidence that this novel approach to self-determining antibiotic duration is safe and beneficial. If evidence based, SAWB should be offered with an explanation of why the advice differs from the ‘complete the course’ instruction, and a clear indication of when exactly to stop antibiotics should be given

Patient engagement with antibiotic messaging in secondary care: a qualitative feasibility study of the ‘review & revise’ experience

Background: We aimed to investigate and optimise the acceptability and usefulness of a patient leaflet about antibiotic prescribing decisions made during hospitalisation, and to explore individual patient experiences and preferences regarding the process of antibiotic prescription ‘review & revise’ which is a key strategy to minimise antibiotic overuse in hospitals. Methods: In this qualitative study, run within the feasibility study of a large, cluster-randomised stepped wedge trial of 36 hospital organisations, a series of semi-structured, think-aloud telephone interviews were conducted and data were analysed using thematic analysis. Fifteen adult patients who had experienced a recent acute medical hospital admission during which they had been prescribed antimicrobials and offered a patient leaflet about antibiotic prescribing were recruited to the study. Results: Participants reacted positively to the leaflet, reporting that it was both an accessible and important source of information which struck the appropriate balance between informing and reassuring. Participants all valued open communication with clinicians, and were keen to be involved in antibiotic prescribing decisions, with individuals reporting positive experiences regarding antibiotic prescription changes or stopping. Many participants had prior experience or knowledge of antibiotics and resistance, and generally welcomed efforts to reduce antibiotic usage. Overall, there was a feeling that healthcare professionals (HCPs) are trusted experts providing the most appropriate treatment for individual patient conditions. Conclusions: This study offers novel insights into how patients within secondary care are likely to respond to messages advocating a reduction in the use of antibiotics through the ‘review & revise’ approach. Due to the level of trust that patients place in their care provider, encouraging HCPs within secondary care to engage patients with greater communication and information provision could provide great advantages in the drive to reduce antibiotic use. It may also be beneficial for HCPs to view patient experiences as cumulative events that have the potential to impact future behaviour around antibiotic use. Finally, pre-testing messages about antibiotic prescribing and resistance is vital to dispelling any misconceptions either around effectiveness of treatment for patients, or perceptions of how messages may be received

p85 regulatory subunit of PI3K mediates cAMP–PKA and estrogens biological effects on growth and survival

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Product costing and activity-based costing/management in Bacalhôa Vinhos de Portugal

The present Work Project introduces a case study addressing the adoption of an ABC/M system in a winemaking company. The system was implemented in only one area of the company, and its adoption allows the company to perform ABM analysis resorting to the ABC information. A mixed approach is used to cost the products: both traditional and ABC systems are used although in different areas of the company. ABC/M implementation was perceived as ‘successful’ despite not following recommendations prescribed in literature

Block Copolymers‐Based Nanoporous Thin Films with Tailored Morphology for Biomolecules Adsorption

The adsorption of myoglobin (Mb) onto nanoporous thin films build up using block‐copolymers (BCPs) is analyzed. The nanoporous thin films, fabricated by exploiting self‐assembly of lamellar BCPs and the concept of sacrificial block, are characterized by a well‐defined morphology containing nanochannels of width ≈20 nm delimited by polystyrene (PS) domains, decorated with pendant poly(ethylene oxide) (PEO) chains. The adsorption of Mb onto the nanoporous material is studied by means of UV–visible spectroscopy, quartz crystal microbalance, and neutron reflectometry measurements. In order to determine the role of nanopores, experiments are also conducted by using supports made of nonporous PS thin films and nude glass slides. The results indicate that the BCP‐nanoporous material exhibits a remarkably higher adsorption capability than PS and glass. As PEO exhibits a low degree of protein adsorption, this result may be essentially attributed to the presence of the nanopores. The large surface area, the opened pore structure, and the trapping effect of the pores are the main factors determining the increased Mb adsorption capability of the BCP‐based support. Yet, the presence of PEO chains decorating the PS walls at porous surface does not prevent Mb biomolecules to establish good interactions with the support