Delay in diabetic retinopathy screening increases the rate of detection of referable diabetic retinopathy

Aims - To assess whether there is a relationship between delay in retinopathy screening after diagnosis of Type 2 diabetes and level of retinopathy detected. Methods - Patients were referred from 88 primary care practices to an English National Health Service diabetic eye screening programme. Data for screened patients were extracted from the primary care databases using semi-automated data collection algorithms supplemented by validation processes. The programme uses two-field mydriatic digital photographs graded by a quality assured team. Results - Data were available for 8183 screened patients with diabetes newly diagnosed in 2005, 2006 or 2007. Only 163 with Type 1 diabetes were identified and were insufficient for analysis. Data were available for 8020 with newly diagnosed Type 2 diabetes. Of these, 3569 were screened within 6 months, 2361 between 6 and 11 months, 1058 between 12 and 17 months, 366 between 18 and 23 months, 428 between 24 and 35 months, and 238 at 3 years or more after diagnosis. There were 5416 (67.5%) graded with no retinopathy, 1629 (20.3%) with background retinopathy in one eye, 753 (9.4%) with background retinopathy in both eyes and 222 (2.8%) had referable diabetic retinopathy. There was a significant trend (P = 0.0004) relating time from diagnosis to screening detecting worsening retinopathy. Of those screened within 6 months of diagnosis, 2.3% had referable retinopathy and, 3 years or more after diagnosis, 4.2% had referable retinopathy. Conclusions - The rate of detection of referable diabetic retinopathy is elevated in those who were not screened promptly after diagnosis of Type 2 diabetes

Axially open nonradiative structures: an example of single-mode resonator based on the sample holder

The concept of nonradiative dielectric resonator is generalized in order to include axially open configurations having rotational invariance. The resulting additional nonradiative conditions are established for the different resonance modes on the basis of their azimuthal modal index. An approximate chart of the allowed dielectric and geometrical parameters for the TE011 mode is given. A practical realization of the proposed device based on commercial fused quartz tubes is demonstrated at millimeter wavelengths, together with simple excitation and tuning mechanisms. The observed resonances are characterized in their basic parameters, as well as in the field distribution by means of a finite element method. The predictions of the theoretical analysis are well confirmed, both in the general behaviour and in the expected quality factors. The resulting device, in which the sample holder acts itself as single-mode resonating element, combines an extreme ease of realization with state-of-the-art performances. The general benefits of the proposed open single-mode resonators are finally discussed.Comment: 18 pages, 10 figure

Fault tectonics and earthquake hazards in parts of southern California

The author has identified the following significant results. Four previously unknown faults were discovered in basement terrane of the Peninsular Ranges. These have been named the San Ysidro Creek fault, Thing Valley fault, Canyon City fault, and Warren Canyon fault. In addition fault gouge and breccia were recognized along the San Diego River fault. Study of features on Skylab imagery and review of geologic and seismic data suggest that the risk of a damaging earthquake is greater along the northwestern portion of the Elsinore fault than along the southeastern portion. Physiographic indicators of active faulting along the Garlock fault identifiable in Skylab imagery include scarps, linear ridges, shutter ridges, faceted ridges, linear valleys, undrained depressions and offset drainage. The following previously unrecognized fault segments are postulated for the Salton Trough Area: (1) An extension of a previously known fault in the San Andreas fault set located southeast of the Salton Sea; (2) An extension of the active San Jacinto fault zone along a tonal change in cultivated fields across Mexicali Valley ( the tonal change may represent different soil conditions along opposite sides of a fault). For the Skylab and LANDSAT images studied, pseudocolor transformations offer no advantages over the original images in the recognition of faults in Skylab and LANDSAT images. Alluvial deposits of different ages, a marble unit and iron oxide gossans of the Mojave Mining District are more readily differentiated on images prepared from ratios of individual bands of the S-192 multispectral scanner data. The San Andreas fault was also made more distinct in the 8/2 and 9/2 band ratios by enhancement of vegetation differences on opposite sides of the fault. Preliminary analysis indicates a significant earth resources potential for the discrimination of soil and rock types, including mineral alteration zones. This application should be actively pursued

Analysis of pseudocolor transformations of ERTS-1 images of Southern California area

The author has identified the following significant results. Representative faults and lineaments, natural features on the Mojave Desert, and cultural features of the southern California area were studied on ERTS-1 images. The relative appearances of the features were compared on a band 4 and 5 subtraction image, its pseudocolor transformation, and pseudocolor images of bands 4, 5, and 7. Selected features were also evaluated in a test given students at the University of California, Los Angeles. Observations and the test revealed no significant improvement in the ability to detect and locate faults and lineaments on the pseudocolor transformations. With the exception of dry lake surfaces, no enhancement of the features studied was observed on the bands 4 and 5 subtraction images. Geologic and geographic features characterized by minor tonal differences on relatively flat surfaces were enhanced on some of the pseudocolor images

Collecting single molecules with conventional optical tweezers

The size of particles which can be trapped in optical tweezers ranges from tens of nanometres to tens of micrometres. This size regime also includes large single molecules. Here we present experiments demonstrating that optical tweezers can be used to collect polyethylene oxide (PEO) molecules suspended in water. The molecules that accumulate in the focal volume do not aggregate and therefore represent a region of increased molecule concentration, which can be controlled by the trapping potential. We also present a model which relates the change in concentration to the trapping potential. Since many protein molecules have molecular weights for which this method is applicable the effect may be useful in assisting nucleation of protein crystals.Comment: 5 pages, 4 figure

Mie scattering by a charged dielectric particle

We study for a dielectric particle the effect of surplus electrons on the anomalous scattering of light arising from the transverse optical phonon resonance in the particle's dielectric constant. Excess electrons affect the polarizability of the particle by their phonon-limited conductivity, either in a surface layer (for negative electron affinity) or the conduction band (for positive electron affinity). We demonstrate that surplus electrons shift an extinction resonance in the infrared. This offers an optical way to measure the charge of the particle and thus to use it in a plasma as a minimally invasive electric probe.Comment: 5 pages, 5 figures, accepted manuscrip

Repulsive Casimir Force: Sufficient Conditions

In this paper the Casimir energy of two parallel plates made by materials of different penetration depth and no medium in between is derived. We study the Casimir force density and derive analytical constraints on the two penetration depths which are sufficient conditions to ensure repulsion. Compared to other methods our approach needs no specific model for dielectric or magnetic material properties and constitutes a complementary analysis.Comment: 11 pages. 3 figures. Misprints corrected in Eq. (4

The Real Scalar Field Equation for Nariai Black Hole in the 5D Schwarzschild-de Sitter Black String Space

The Nariai black hole, whose two horizons are lying close to each other, is an extreme and important case in the research of black hole. In this paper we study the evolution of a massless scalar field scattered around in 5D Schwarzschild-de Sitter black string space. Using the method shown by Brevik and Simonsen (2001) we solve the scalar field equation as a boundary value problem, where real boundary condition is employed. Then with convenient replacement of the 5D continuous potential by square barrier, the reflection and transmission coefficients ($R, T$) are obtained. At last, we also compare the coefficients with usual 4D counterpart.Comment: 10 pages,6 figures.To appear in Int. J. Mod. Phys.

Casimir Energy of a Spherical Shell

The Casimir energy for a conducting spherical shell of radius $a$ is computed using a direct mode summation approach. An essential ingredient is the implementation of a recently proposed method based on Cauchy's theorem for an evaluation of the eigenfrequencies of the system. It is shown, however, that this earlier calculation uses an improper set of modes to describe the waves exterior to the sphere. Upon making the necessary corrections and taking care to ensure that no mathematically ill-defined expressions occur, the technique is shown to leave numerical results unaltered while avoiding a longstanding criticism raised against earlier calculations of the Casimir energy.Comment: LaTeX, 14 pages, 1 figur

Activation-triggered subunit exchange between CaMKII holoenzymes facilitates the spread of kinase activity

The activation of the dodecameric Ca2+/calmodulin dependent kinase II (CaMKII) holoenzyme is critical for memory formation. We now report that CaMKII has a remarkable property, which is that activation of the holoenzyme triggers the exchange of subunits between holoenzymes, including unactivated ones, enabling the calcium-independent phosphorylation of new subunits. We show, using a single-molecule TIRF microscopy technique, that the exchange process is triggered by the activation of CaMKII, and that exchange is modulated by phosphorylation of two residues in the calmodulin-binding segment, Thr 305 and Thr 306. Based on these results, and on the analysis of molecular dynamics simulations, we suggest that the phosphorylated regulatory segment of CaMKII interacts with the central hub of the holoenzyme and weakens its integrity, thereby promoting exchange. Our results have implications for an earlier idea that subunit exchange in CaMKII may have relevance for information storage resulting from brief coincident stimuli during neuronal signaling