Update on the management of diabetic polyneuropathies

The prevalence of diabetic polyneuropathy (DPN) can approach 50% in subjects with longer-duration diabetes. The most common neuropathies are generalized symmetrical chronic sensorimotor polyneuropathy and autonomic neuropathy. It is important to recognize that 50% of subjects with DPN may have no symptoms and only careful clinical examination may reveal the diagnosis. DPN, especially painful diabetic peripheral neuropathy, is associated with poor quality of life. Although there is a better understanding of the pathophysiology of DPN and the mechanisms of pain, treatment remains challenging and is limited by variable efficacy and side effects of therapies. Intensification of glycemic control remains the cornerstone for the prevention or delay of DPN but optimization of other traditional cardiovascular risk factors may also be of benefit. The management of DPN relies on its early recognition and needs to be individually based on comorbidities and tolerability to medications. To date, most pharmacological strategies focus upon symptom control. In the management of pain, tricyclic antidepressants, selective serotonin noradrenaline reuptake inhibitors, and anticonvulsants alone or in combination are current first-line therapies followed by use of opiates. Topical agents may offer symptomatic relief in some patients. Disease-modifying agents are still in development and to date, antioxidant α-lipoic acid has shown the most promising effect. Further development and testing of therapies based upon improved understanding of the complex pathophysiology of this common and disabling complication is urgently required

Short-term climate response to a freshwater pulse in the Southern Ocean

The short-term response of the climate system to a freshwater anomaly in the Southern Ocean is investigated using a coupled global climate model. As a result of the anomaly, ventilation of deep waters around Antarctica is inhibited, causing a warming of the deep ocean, and a cooling of the surface. The surface cooling causes Antarctic sea-ice to thicken and increase in extent, and this leads to a cooling of Southern Hemisphere surface air temperature. The surface cooling increases over the first 5 years, then remains constant over the next 5 years. There is a more rapid response in the Pacific Ocean, which transmits a signal to the Northern Hemisphere, ultimately causing a shift to the negative phase of the North Atlantic Oscillation in years 5–10

A Multiwavelength View at the Heart of the Superwind in NGC 253

Here we present new optical data from the Hubble Space Telescope of the NGC 253 central region, which reveal numerous discrete sources in a ring--like structure. This is combined with data at infrared, millimeter, radio and X-ray wavelengths to examine the nature of these discrete sources and the nucleus itself. We find that the majority of optical/IR/mm sources are young star clusters which trace out a ~50 pc ring, that defines the inner edge of a cold gas torus. This reservoir of cold gas has probably been created by gas inflow from a larger scale bar and deposited at the inner Lindblad resonance. The family of compact radio sources lie interior to the starburst ring, and in general do not have optical or IR counterparts. They are mostly SNRs. The radio nucleus, which is probably an AGN, lies near the centre of the ring. The X-ray emission from the nuclear source is extended in the ROSAT HRI detector indicating that not all of the X-ray emission can be associated with the AGN. The lack of X-ray variability and the flat radio spectrum of the nucleus, argues against an ultraluminous SN as the dominant energetic source at the galaxy core. The diffuse emission associated with the outflowing superwind is present in the central region on a size scale consistent with the idea of collimation by the gas torus.Comment: 26 pages, Latex, 6 figures, 4 tables, submitted to MNRA

Single-photon detection timing jitter in a visible light photon counter

Visible light photon counters (VLPCs) offer many attractive features as photon detectors, such as high quantum efficiency and photon number resolution. We report measurements of the single-photon timing jitter in a VLPC, a critical performance factor in a time-correlated single-photon counting measurement, in a fiber-coupled closed-cycle cryocooler. The measured timing jitter is 240 ps full-width-at-half-maximum at a wavelength of 550 nm, with a dark count rate of 25 000 counts per second. The timing jitter increases modestly at longer wavelengths to 300 ps at 1000 nm, and increases substantially at lower bias voltages as the quantum efficiency is reduced

Evidence that the AGN dominates the radio emission in z ~ 1 radio-quiet quasars

This document is the Accepted Manuscript version of the following article: Sarah V. White, Matt J. Jarvis, Eleni Kalfoutnzou, Martin J. Hardcastle, Aprajita Verma, Mose M. Cao Orjales, and Jason Stevens, 'Evidence that the AGN dominates the radio emission in z ~ 1 radio quiet quasars', Monthly Notices of the Royal Astronomical Society, first published online 3 February 2017, DOI: https://doi.org/10.1093/mnras/stx284 Key results are presented in Table 4 and Figure 7, which illustrates where the RQQs lie in relation to the far-infrared--radio correlation © 2017 The Authors. Published by Oxford University Press on behalf of the Royal Astronomical Society.In order to understand the role of radio-quiet quasars (RQQs) in galaxy evolution, we must determine the relative levels of accretion and star-formation activity within these objects. Previous work at low radio flux-densities has shown that accretion makes a significant contribution to the total radio emission, in contrast with other quasar studies that suggest star formation dominates. To investigate, we use 70 RQQs from the Spitzer-Herschel Active Galaxy Survey. These quasars are all at $z$ ~ 1, thereby minimising evolutionary effects, and have been selected to span a factor of ~100 in optical luminosity, so that the luminosity dependence of their properties can be studied. We have imaged the sample using the Karl G. Jansky Very Large Array (JVLA), whose high sensitivity results in 35 RQQs being detected above 2 $\sigma$. This radio dataset is combined with far-infrared luminosities derived from grey-body fitting to Herschel photometry. By exploiting the far-infrared--radio correlation observed for star-forming galaxies, and comparing two independent estimates of the star-formation rate, we show that star formation alone is not sufficient to explain the total radio emission. Considering RQQs above a 2-$\sigma$ detection level in both the radio and the far-infrared, 92 per cent are accretion-dominated, and the accretion process accounts for 80 per cent of the radio luminosity when summed across the objects. The radio emission connected with accretion appears to be correlated with the optical luminosity of the RQQ, whilst a weaker luminosity-dependence is evident for the radio emission connected with star formation.Peer reviewedFinal Accepted Versio

Brood parasitism is linked to egg pattern diversity within and among species of australian passerines

Bird eggs show striking diversity in color and pattern. One explanation for this is that interactions between avian brood parasites and their hosts drive egg phenotype evolution. Brood parasites lay their eggs in the nests of other species, their hosts. Many hosts defend their nests against parasitism by rejecting foreign eggs, which selects for parasite eggs that mimic those of the host. In theory, this may in turn select for changes in host egg phenotypes over time to facilitate discrimination of parasite eggs. Here, we test for the first time whether parasitism by brood parasites has led to increased divergence in egg phenotype among host species. Using Australian host and nonhost species and objective measures of egg color and pattern, we show that (i) hosts of brood parasites have higher within-species variation in egg pattern than nonhosts, supporting previous findings in other systems, and (ii) host species have diverged more in their egg patterns than nonhost species after controlling for divergence time. Overall, our results suggest that brood parasitism has played a significant role in the evolution of egg diversity and that these effects are evident, not only within species, but also among species

Optimally Distributed Receiver Placements Versus an Environmentally Aware Source: New England Shelf Break Acoustics Signals and Noise Experiment

This article describes the results of the Spring of 2021 New England Shelf Break Acoustics (NESBA) Signals and Noise experiment as they pertain to the optimization of a field of passive receivers versus an environmentally aware source with end-state goals. A discrete optimization has been designed and used to demonstrate providing an acoustic system operator with actionable guidance relating to optimally distributed receiver locations and depths and likely mean source detection times and associated uncertainties as a function of source and receiver levels of environmental awareness. The uncertainties considered here are those due to the imperfect spatial and temporal sensing of the water column, ambient noise (AN), and the seabed, and the impact this has on ocean forecasting and acoustic performance prediction accuracy. As a part of the NESBA experiment, high-resolution (1 km spatial) regional Navy Coastal Ocean Model ensemble forecasts were generated to capture oceanographic variability and uncertainty. Passive AN-based seabed measurements were conducted to estimate seabed properties including variability and uncertainty. Extensive AN and conductivity, temperature, and depth measurements were also conducted. In this article, operationally relevant metrics are employed to estimate the potential value-added of optimal receiver location and depth placements as a function of source end-state goals and assumed level of environmental awareness. A concept for generating stochastic acoustic prediction metrics and associated optimally distributed receiver locations and depths in an operational environment is proposed