453 research outputs found

    Survey of respiratory sounds in infants

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    Background: Over the last decade there has been an apparent increase in childhood wheeze. We speculated that much of the reported increase may be attributed to the term wheeze being adopted by parents to describe a variety of other forms of noisy breathing. Aims: To investigate terminology used by parents to describe their children’s breath sounds. Methods: An interview was carried out with the parents of 92 infants with noisy breathing, beginning with an open question and then directed towards a more detailed description. Finally, the parents were asked to choose from a wheeze, ruttle, and stridor on imitation by the investigator and video clips of children. Results: Wheeze was the most commonly chosen word on initial questioning (59%). Only 36% were still using this term at the end of the interview, representing a decrease of one third, whereas the use of the word ruttles doubled. Conclusions: Our results reflect the degree of inaccuracy involved in the use of the term wheeze in clinical practice, which may be leading to over diagnosis. Imprecise use of this term has potentially important implications for therapy and clinical trials

    Large seeds provide an intrinsic growth advantage that depends on leaf traits and root allocation

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    1. Seed mass and growth rate are important dimensions of plant ecological diversity, but their relationship remains unresolved. Negative relationships between RGR and seed mass are well-established. However, RGR is size dependent, so small-seeded species might achieve fast growth simply because they are initially small. 2. Using a dataset of unprecedented size, sampling 382 grass species, we investigated seed mass and growth rate using both RGR and SGR (RGR at a specific size), accounting for diversity in phylogeny, ecology (e.g. life history, photosynthetic pathway) and environment (mean annual temperature and precipitation). 3. RGR and SGR showed contrasting relationships with seed mass, such that large-seeded species had lower RGR but higher SGR than small-seeded species. However, the relationship between SGR and seed mass depended on leaf dry matter content (LDMC), and was only positive in high-LDMC species. When compared at a common size, the fast growth of large-seeded and low-LDMC species was associated with greater biomass allocation to roots in the hot, high-light environment used for our experiment. Photosynthetic pathway and life history contributed to variation in SGR, with C4 annuals having higher SGRs than C3 perennials regardless of seed size. 4. Large seeds therefore afford an intrinsic growth advantage in species with resource-conserving leaf traits, and may provide a competitive edge in resource-poor environments. This work advances the understanding of how seed mass and growth rate co-evolve with other ecological factors

    Effectiveness and cost-effectiveness of daily all-over-body application of emollient during the first year of life for preventing atopic eczema in high-risk children (The BEEP trial): protocol for a randomised controlled trial.

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    BACKGROUND: Atopic eczema (AE) is a common skin problem that impairs quality of life and is associated with the development of other atopic diseases including asthma, food allergy and allergic rhinitis. AE treatment is a significant cost burden for health care providers. The purpose of the trial is to investigate whether daily application of emollients for the first year of life can prevent AE developing in high-risk infants (first-degree relative with asthma, AE or allergic rhinitis). METHODS: This is a protocol for a pragmatic, two-arm, randomised controlled, multicentre trial. Up to 1400 term infants at high risk of developing AE will be recruited through the community, primary and secondary care in England. Participating families will be randomised in a 1:1 ratio to receive general infant skin-care advice, or general skin-care advice plus emollients with advice to apply daily to the infant for the first year of life. Families will not be blinded to treatment allocation. The primary outcome will be a blinded assessment of AE at 24 months of age using the UK Working Party Diagnostic Criteria for Atopic Eczema. Secondary outcomes are other definitions of AE, time to AE onset, severity of AE (EASI and POEM), presence of other allergic diseases including food allergy, asthma and hay fever, allergic sensitisation, quality of life, cost-effectiveness and safety of the emollients. Subgroup analyses are planned for the primary outcome according to filaggrin genotype and the number of first-degree relatives with AE and other atopic diseases. Families will be followed up by online and postal questionnaire at 3, 6, 12 and 18 months with a face-to-face visit at 24 months. Long-term follow-up until 60 months will be via annual questionnaires. DISCUSSION: This trial will demonstrate whether skin-barrier enhancement through daily emollient for the first year of life can prevent AE from developing in high-risk infants. If effective, this simple and cheap intervention has the potential to result in significant cost savings for health care providers throughout the world by preventing AE and possibly other associated allergic diseases. TRIAL REGISTRATION: ISRCTN registry; ID: ISRCTN21528841 . Registered on 25 July 2014

    Planck-Scale Physics and Neutrino Masses

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    We discuss gravitationally induced masses and mass splittings of Majorana, Zeldovich-Konopinski-Mahmoud and Dirac neutrinos. Among other implications, these effects can provide a solution of the solar neutrino puzzle. In particular, we show how this may work in the 17 keV neutrino picture.Comment: 10 pages, IC/92/79, SISSA-83/92/EP, LMU-04/92 (the preprint number has been corrected; no other changes

    C4 photosynthesis and the economic spectra of leaf and root traits independently influence growth rates in grasses

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    1. Photosynthetic pathway is an important cause of growth rate variation between species, such that the enhanced carbon uptake of C4 species leads to faster growth than their C3 counterparts. Leaf traits that promote rapid resource acquisition may further enhance the growth capacity of C4 species. However, how root economic traits interact with leaf traits, and the different growth strategies adopted by plants with C3 and C4 photosynthetic pathways is unclear. Plant economic traits could interact with, or act independently of, photosynthetic pathway in influencing growth rate, or C3 and C4 species could segregate out along a common growth rate‐trait relationship. 2. We measured leaf and root traits on 100+ grass species grown from seeds in a controlled, common environment to compare with relative growth rates (RGR) during the initial phase of rapid growth, controlling for phylogeny and allometric effects. 3. Photosynthetic pathway acts independently to leaf and root functional traits in causing fast growth. Using C4 photosynthesis, plants can achieve faster growth than their C3 counterparts (by an average 0.04 g g‐1 day‐1) for a given suite of functional trait values, with lower investments of leaf and root nitrogen. Leaf and root traits had an additive effect on RGR, with plants achieving fast growth by possessing resource‐acquisitive leaf traits (high specific leaf area and low leaf dry matter content) or root traits (high specific root length and area, and low root diameter), but having both leads to an even faster growth rate (by up to 0.06 g g‐1 day‐1). C4 photosynthesis can provide a greater relative increase in RGR for plants with a ‘slow’ ecological strategy than in those with fast growth. However, aboveground and belowground strategies are not coordinated, so that species can have any combination of ‘slow’ or ‘fast’ leaf and root traits. 4. Synthesis: C4 photosynthesis increases growth rate for a given combination of economic traits, and significantly alters plant nitrogen economy in the leaves and roots. However, leaf and root economic traits act independently to further enhance growth. The fast growth of C4 grasses promotes a competitive advantage under hot, sunny conditions

    Planck scale effects in neutrino physics

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    We study the phenomenology and cosmology of the Majoron (flavon) models of three active and one inert neutrino paying special attention to the possible (almost) conserved generalization of the Zeldovich-Konopinski-Mahmoud lepton charge. Using Planck scale physics effects which provide the breaking of the lepton charge, we show how in this picture one can incorporate the solutions to some of the central issues in neutrino physics such as the solar and atmospheric neutrino puzzles, dark matter and a 17 keV neutrino. These gravitational effects induce tiny Majorana mass terms for neutrinos and considerable masses for flavons. The cosmological demand for the sufficiently fast decay of flavons implies a lower limit on the electron neutrino mass in the range of 0.1-1 eV.Comment: 24 pages, 1 figure (not included but available upon request), LaTex, IC/92/196, SISSA-140/92/EP, LMU-09/9

    Active Brownian Particles. From Individual to Collective Stochastic Dynamics

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    We review theoretical models of individual motility as well as collective dynamics and pattern formation of active particles. We focus on simple models of active dynamics with a particular emphasis on nonlinear and stochastic dynamics of such self-propelled entities in the framework of statistical mechanics. Examples of such active units in complex physico-chemical and biological systems are chemically powered nano-rods, localized patterns in reaction-diffusion system, motile cells or macroscopic animals. Based on the description of individual motion of point-like active particles by stochastic differential equations, we discuss different velocity-dependent friction functions, the impact of various types of fluctuations and calculate characteristic observables such as stationary velocity distributions or diffusion coefficients. Finally, we consider not only the free and confined individual active dynamics but also different types of interaction between active particles. The resulting collective dynamical behavior of large assemblies and aggregates of active units is discussed and an overview over some recent results on spatiotemporal pattern formation in such systems is given.Comment: 161 pages, Review, Eur Phys J Special-Topics, accepte

    The PHENIX Experiment at RHIC

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    The physics emphases of the PHENIX collaboration and the design and current status of the PHENIX detector are discussed. The plan of the collaboration for making the most effective use of the available luminosity in the first years of RHIC operation is also presented.Comment: 5 pages, 1 figure. Further details of the PHENIX physics program available at http://www.rhic.bnl.gov/phenix
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