Cenozoic Contourites in the Eastern Great Australian Bight, Offshore Southern Australia: Implications For the Onset of the Leeuwin Current

Thermohaline oceanic currents influence global heat transfer, controlling local and global variations in climate, biodiversity, and the terrestrial biosphere. Paleoceanographic studies typically use biostratigraphic and geochemical proxies to reconstruct the dynamics of these currents in Earth's ancient oceans, although seismic reflection data have also been successfully employed, most commonly in the North Atlantic Ocean. Here we use 2D seismic reflection data from the Ceduna Sub-basin, Great Australian Bight, offshore southern Australia, to describe middle Eocene to Recent contourites deposited in an overall carbonate-dominated succession. These deposits comprise large (100 m wavelength by up to 50 m tall) bedforms and deep (10–90 m), wide (up to 3 km) erosional scours. The scours are particularly well developed at one specific stratigraphic level, defining moats that encircle middle Eocene shield volcanoes, which formed syndepositional bathymetric highs. We suggest that sediment erosion, transport, and deposition record middle Eocene initiation of the Leeuwin Current, one of the most important ocean currents in the southern hemisphere. Deepest seabed scouring occurs in the middle of the middle Eocene to Recent sequence, and may reflect middle Miocene waxing of the so-called “proto-Leeuwin Current,” possibly driven by changes in ocean circulation patterns caused by the Miocene Global Optimum. The results of this seismic reflection-based study are consistent with results derived from other paleoceanographic proxies, thereby highlighting the continued key role seismic reflection data have in understanding the occurrence, geographical distribution, and significance of ancient ocean currents

Patterns of recruitment and injury in a heterogeneous airway network model

In respiratory distress, lung airways become flooded with liquid and may collapse due to surface-tension forces acting on air-liquid interfaces, inhibiting gas exchange. This pa- per proposes a mathematical multiscale model for the mechanical ventilation of a network of occluded airways, where air is forced into the network at a fixed tidal volume, allowing investigation of optimal recruitment strategies. The temporal response is derived from mechanistic models of individual airway reopening, incorporating feedback on the airway pressure due to recruitment. The model accounts for stochastic variability in airway di- ameter and stiffness across and between generations. For weak heterogeneity, the network is completely ventilated via one or more avalanches of recruitment (with airways recruited in quick succession), each characterised by a transient decrease in the airway pressure; avalanches become more erratic for airways that are initially more flooded. However, the time taken for complete ventilation of the network increases significantly as the network becomes more heterogeneous, leading to increased stresses on airway walls. The model predicts that the most peripheral airways are most at risk of ventilation-induced damage. A positive-end-expiratory pressure (PEEP) reduces the total recruitment time but at the cost of larger stresses exerted on airway walls

Enhancing mechanical properties of wire + arc additively manufactured INCONEL 718 superalloy through in-process thermomechanical processing

Wire + arc additive manufacture (WAAM) was applied to produce INCONEL 718 superalloy (IN718) components in a layer by layer manner; further, interpass cold rolling was introduced to generate in-process thermomechanical processing effect during the deposition process. Mechanical testing showed that with rolling applied, the strength of the solution plus aging treated WAAM IN718 was improved from 1056 MPa (unrolled) to 1351 MPa (rolled) which met the wrought standard (1276 MPa), and the material anisotropy was eliminated. The unrolled IN718 featured large columnar grains developing along the building direction, with the length and width as large as 11 mm and 0.8 mm respectively; rolling induced plastic deformation triggered a non-uniform recrystallization upon successive depositions, which produced a recrystallized core with small columnar grains and numerous finely equiaxed grains with the grain size of 12.7 μm. The overall strengthening produced by interpass rolling was attributed mostly (76%) to the rolling induced recrystallization which produced grain size reduction strengthening and created larger grain boundary area to allow more precipitation at the grain boundaries, and partially (24%) due to the improved aging response of the recrystallized grain structur

The formation and function of the neutrophil phagosome.

Neutrophils are the most abundant circulating leukocyte and are crucial to the initial innate immune response to infection. One of their key pathogen-eliminating mechanisms is phagocytosis, the process of particle engulfment into a vacuole-like structure called the phagosome. The antimicrobial activity of the phagocytic process results from a collaboration of multiple systems and mechanisms within this organelle, where a complex interplay of ion fluxes, pH, reactive oxygen species, and antimicrobial proteins creates a dynamic antimicrobial environment. This complexity, combined with the difficulties of studying neutrophils ex vivo, has led to gaps in our knowledge of how the neutrophil phagosome optimizes pathogen killing. In particular, controversy has arisen regarding the relative contribution and integration of nicotinamide adenine dinucleotide phosphate (NADPH) oxidase-derived antimicrobial agents and granule-delivered antimicrobial proteins. Clinical syndromes arising from dysfunction in these systems in humans allow useful insight into these mechanisms, but their redundancy and synergy add to the complexity. In this article, we review the current knowledge regarding the formation and function of the neutrophil phagosome, examine new insights into the phagosomal environment that have been permitted by technological advances in recent years, and discuss aspects of the phagocytic process that are still under debate

A comparison of hospital readmission rates between two general physicians with different outpatient review practices

BACKGROUND: There has been a relentless increase in emergency medical admissions in the UK over recent years. Many of these patients suffer with chronic conditions requiring continuing medical attention. We wished to determine whether conventional outpatient clinic follow up after discharge has any impact on the rate of readmission to hospital. METHODS: Two consultant general physicians with the same patient case-mix but markedly different outpatient follow-up practice were chosen. Of 1203 patients discharged, one consultant saw twice as many patients in the follow-up clinic than the other (Dr A 9.8% v Dr B 19.6%). The readmission rate in the twelve months following discharge was compared in a retrospective analysis of hospital activity data. Due to the specialisation of the admitting system, patients mainly had cardiovascular or cerebrovascular disease or had taken an overdose. Few had respiratory or infectious diseases. Outpatient follow-up was focussed on patients with cardiac disease. RESULTS: Risk of readmission increased significantly with age and length of stay of the original episode and was less for digestive system and musculo-skeletal disorders. 28.7% of patients discharged by Dr A and 31.5 % of those discharged by Dr B were readmitted at least once. Relative readmission risk was not significantly different between the consultants and there was no difference in the length of stay of readmissions. CONCLUSIONS: Increasing the proportion of patients with this age- and case-mix who are followed up in a hospital general medical outpatient clinic is unlikely to reduce the demand for acute hospital beds

Binary orbits as the driver of γ-ray emission and mass ejection in classical novae

Classical novae are the most common astrophysical thermonuclear explosions, occurring on the surfaces of white dwarf stars accreting gas from companions in binary star systems. Novae typically expel �10,000 solar masses of material at velocities exceeding 1,000 km/s. However, the mechanism of mass ejection in novae is poorly understood, and could be dominated by the impulsive flash of the thermonuclear runaway, prolonged optically thick winds, or binary interaction with the nova envelope. Classical novae are now routinely detected in GeV gamma-rays, suggesting that relativistic particles are accelerated by strong shocks in nova ejecta. Here we present high-resolution imaging of the gamma-ray-emitting nova V959 Mon at radio wavelengths, showing that its ejecta were shaped by binary motion: some gas was expelled rapidly along the poles as a wind from the white dwarf, while denser material drifted out along the equatorial plane, propelled by orbital motion. At the interface between the equatorial and polar regions, we observe synchrotron emission indicative of shocks and relativistic particle acceleration, thereby pinpointing the location of gamma-ray production. Binary shaping of the nova ejecta and associated internal shocks are expected to be widespread among novae, explaining why many novae are gamma-ray emitters

Pathological Investigation of Congenital Bicuspid Aortic Valve Stenosis, Compared with Atherosclerotic Tricuspid Aortic Valve Stenosis and Congenital Bicuspid Aortic Valve Regurgitation

Congenital bicuspid aortic valve (CBAV) is the main cause of aortic stenosis (AS) in young adults. However, the histopathological features of AS in patients with CBAV have not been fully investigated.We examined specimens of aortic valve leaflets obtained from patients who had undergone aortic valve re/placement at our institution for severe AS with CBAV (n = 24, CBAV-AS group), severe AS with tricuspid aortic valve (n = 24, TAV-AS group), and severe aortic regurgitation (AR) with CBAV (n = 24, CBAV-AR group). We compared the histopathological features among the three groups. Pathological features were classified using semi-quantitative methods (graded on a scale 0 to 3) by experienced pathologists without knowledge of the patients' backgrounds. The severity of inflammation, neovascularization, and calcium and cholesterol deposition did not differ between the CBAV-AS and TAV-AS groups, and these four parameters were less marked in the CBAV-AR group than in the CBAV-AS (all p<0.01). Meanwhile, the grade of valvular fibrosis was greater in the CBAV-AS group, compared with the TAV-AS and CBAV-AR groups (both p<0.01). In AS patients, thickness of fibrotic lesions was greater on the aortic side than on the ventricular side (both p<0.01). Meanwhile, thickness of fibrotic lesions was comparable between the aortic and ventricular sides in CBAV-AR patients (p = 0.35).Valvular fibrosis, especially on the aortic side, was greater in patients with CBAV-AS than in those without, suggesting a difference in the pathogenesis of AS between CBAV and TAV

Study of residual stress and microstructural evolution in as-deposited and inter-pass rolled wire plus arc additively manufactured Inconel 718 alloy after ageing treatment

The manufacture of structural components made from nickel-based super alloys would benefit from the commercial advantages of Wire + Arc Additive Manufacturing (WAAM), as it is commonly expensive to process using other conventional techniques. The two major challenges of WAAM are process residual stress and undesired microstructure. Residual stress causes part distortion and build failures, while the as-deposited microstructure does not allow the common heat-treatment to be effective in achieving the desired mechanical properties. This paper focuses on understanding the microstructural features, phase formation and three-dimensional residual stress state variation in as-deposited and inter-pass rolled conditions and after solutionising, quenching and ageing. The thermal history from successive deposition and cold working were correlated to the phase formation and macro residual stress formation and subsequent evolution. The {311} family of crystallographic planes were used as atomic strain gauge to determine the macrostrain and analysis of three dimensional stress state in different processing conditions. The measured strain were corrected for the compositional variation by measuring EDM machined d0 specimens manufactured under similar processing conditions. While the as-deposited part show significant stress redistribution and distortion after removal from the main fixture, inter-pass rolling was found to reduce part distortion significantly, the residual stress profile after inter-pass rolling showed highest tensile magnitude near the substrate while near the top of the deposit it was compressive as can be expected from the rolling process. The other two beneficial effects of inter-pass rolling on the microstructure are mitigation of the formation of undesired Laves-phase, thereby improving the response to solution treatment and aging together with significantly reduced grain size and texture. The application of inter-pass rolling reduces the potential part complexity, which however does not prevent the manufacture of common candidate parts, which are typically 1-to-1 replacements of forged, cast or machined from soli