Twee jaar ILG: tijd voor de gebieden. Provincies op zoek naar een nieuwe rol in gebiedsprocessen

Met het ingaan van het Investeringsbudget Landelijk Gebied (ILG) in 2007, brak een nieuw hoofdstuk aan voor de verhoudingen tussen rijk en provincies in het landelijk gebied. Het ILG is bedoeld om gebiedsgerichte samenwerking te stimuleren en daarmee de rijksdoelen in het natuur- en plattelandsbeleid te realiseren. De verwachtingen zijn torenhoog, vooral voor provincies. In dit artikel bespreken we de gevolgen van het ILG voor de verhoudingen tussen provincies en gebieden. We doen dat aan de hand van twee gebieden: de Krimpenerwaard en Utrecht Midden-Noord

Mirror effect induced by the dilaton field on the Hawking radiation

We discuss the string creation in the near-extremal NS1 black string solution. The string creation is described by an effective field equation derived from a fundamental string action coupled to the dilaton field in a conformally invariant manner. In the non-critical string model the dilaton field causes a timelike mirror surface outside the horizon when the size of the black string is comparable to the Planck scale. Since the fundamental strings are reflected by the mirror surface, the negative energy flux does not propagate across the surface. This means that the evaporation stops just before the naked singularity of the extremal black string appears even though the surface gravity is non-zero in the extremal limit.Comment: 15 page

Quantifying Thermal‐Imager Effectiveness for Detecting Bird Nests on Farms

We conducted a designed experiment to test whether having a thermal‐imaging camera available affected researchers’ nest detection rates when searching for bird nests in cropland and grassland habitat in an agricultural landscape of Iowa, USA, in 2016. With known active nests present, naïve observers searched for nests with and without a thermal imager available. We did not find a difference in detection probabilities, although only a large difference would have been detectable with our sample size. Extraneous heat signatures from reflected solar radiation and dense vegetation were key factors limiting the usefulness of thermal imagers for locating nests

Reprint of:Negative symptoms predict high relapse rates and both predict less favorable functional outcome in first episode psychosis, independent of treatment strategy

Background: In first episode psychosis (FEP) baseline negative symptoms (BNS) and relapse both predict less favorable functional outcome. Relapse-prevention is one of the most important goals of treatment. Apart from discontinuation of antipsychotics, natural causes of relapse are unexplained. We hypothesized that BNS, apart from predicting worse functional outcome, might also increase relapse risk. Methods: We performed a post-hoc analysis of 7-year follow-up data of a FEP cohort (n = 103) involved in a dose-reduction/discontinuation (DR) vs. maintenance treatment (MT) trial. We examined: 1) what predicted relapse, 2) what predicted functional outcome, and 3) if BNS predicted relapse, whether MT reduced relapse rates compared to DR. After remission patients were randomly assigned to DR or MT for 18 months. Thereafter, treatment was uncontrolled. Outcomes: BNS and duration of untreated psychosis (DUP) predicted relapse. Number of relapses, BNS, and treatment strategy predicted functional outcome. BNS was the strongest predictor of relapse, while number of relapses was the strongest predictor of functional outcome above BNS and treatment strategy. Overall and within MT, but not within DR, more severe BNS predicted significantly higher relapse rates. Treatment strategies did not make a difference in relapse rates, regardless of BNS severity. Interpretation: BNS not only predicted worse functional outcome, but also relapses during follow-up. Since current low dose maintenance treatment strategies did not prevent relapse proneness in patients with more severe BNS, resources should be deployed to find optimal treatment strategies for this particular group of patients. (C) 2019 Elsevier B.V. All rights reserved

Negative symptoms predict high relapse rates and both predict less favorable functional outcome in first episode psychosis, independent of treatment strategy

BACKGROUND: In first episode psychosis (FEP) baseline negative symptoms (BNS) and relapse both predict less favorable functional outcome. Relapse-prevention is one of the most important goals of treatment. Apart from discontinuation of antipsychotics, natural causes of relapse are unexplained. We hypothesized that BNS, apart from predicting worse functional outcome, might also increase relapse risk. METHODS: We performed a post-hoc analysis of 7-year follow-up data of a FEP cohort (n = 103) involved in a dose-reduction/discontinuation (DR) vs. maintenance treatment (MT) trial. We examined: 1) what predicted relapse, 2) what predicted functional outcome, and 3) if BNS predicted relapse, whether MT reduced relapse rates compared to DR. After remission patients were randomly assigned to DR or MT for 18 months. Thereafter, treatment was uncontrolled. OUTCOMES: BNS and duration of untreated psychosis (DUP) predicted relapse. Number of relapses, BNS, and treatment strategy predicted functional outcome. BNS was the strongest predictor of relapse, while number of relapses was the strongest predictor of functional outcome above BNS and treatment strategy. Overall and within MT, but not within DR, more severe BNS predicted significantly higher relapse rates. Treatment strategies did not make a difference in relapse rates, regardless of BNS severity. INTERPRETATION: BNS not only predicted worse functional outcome, but also relapses during follow-up. Since current low dose maintenance treatment strategies did not prevent relapse proneness in patients with more severe BNS, resources should be deployed to find optimal treatment strategies for this particular group of patients

Paclitaxel, ifosfamide and cisplatin with granulocyte colony-stimulating factor or recombinant human interleukin 3 and granulocyte colony-stimulating factor in ovarian cancer: a feasibility study.

The tolerability and efficacy of four courses of paclitaxel and ifosfamide plus cisplatin every 3 weeks was evaluated in patients with residual or refractory ovarian cancer. Additionally, supportive haematological effects of recombinant human interleukin 3 (rhIL-3) and recombinant human granulocyte colony-stimulating factor (G-CSF) were studied. Paclitaxel starting dose was 135 mg m(-2) (day 1), with ifosfamide dose 1.2 g m(-2) day(-1) (days 2-4) and cisplatin dose 30 mg m(-2) day(-1) (days 2-4). All 16 patients received 5.0 microg kg(-1) day(-1) G-CSF (days 7-16) and, in addition, eight patients were randomized to receive 10 microg kg(-1) day(-1) rhIL-3 (days 5-9). Paclitaxel and ifosfamide doses were reduced when grade IV haematological toxicity occurred. In the absence of grade IV haematological toxicity and normal recovery of haematopoiesis, paclitaxel dose was escalated. Toxicity was evaluable in 56 courses, with haematological effects in 52. Despite antiemetic treatment, nausea and vomiting (> or = grade I) occurred in 50 courses. Five patients had persisting peripheral neuropathy. Renal and liver function were not affected. Grade IV neutropenia occurred in 12 out of 52 courses, with neutropenic fever in two patients, both of whom died from fatal septicaemia. Grade IV thrombocytopenia without bleeding was observed in 15 courses. Grade IV haematological toxicity was associated with hepatic metastases and concurrent increases in alkaline phosphatase (P <0.001) and gamma-glutamyltransferase (P=0.007). No relation was found between haematological toxicity and pharmacokinetic parameters of paclitaxel. Patients treated with rhIL-3 showed a tendency to a faster platelet recovery (not affecting platelet nadir), and the cisplatin dose intensity was higher (P=0.025). Six of the nine evaluable patients had a tumour response. The overall median progression-free survival was 7 months and the overall mean survival was 13 months. In conclusion, this potentially interesting combination as second-line treatment showed a low tolerability with unexpected mortality, while rhIL-3 administration tended to induce a more rapid platelet recovery

The impact of a reduced dose of dexamethasone on glucose control after coronary artery bypass surgery

<p>Abstract</p> <p>Background</p> <p>Intensive insulin therapy to maintain normoglycemia after cardiac surgery reduces morbidity and mortality. We investigated the magnitude and duration of hyperglycemia caused by dexamethasone administered after cardiopulmonary bypass.</p> <p>Methods</p> <p>A single-center before-after cohort study was performed. All consecutive patients undergoing coronary artery bypass grafting with cardiopulmonary bypass during a 6-month period were included. Insulin administration was guided by a sliding scale protocol. Halfway the observation period, the dexamethasone protocol was changed. The single dose (1D) group received a pre-operative dose of dexamethasone of 1 mg/kg. The double dose group (2D) received an additional dose of 0.5 mg/kg of dexamethasone post-operatively at ICU admission.</p> <p>Results</p> <p>We included 116 patients in the 1D group and 158 patients in the 2D group. There were no significant baseline differences between the groups. Median Euroscore was 5. In univariable analysis, the glucose level was different between groups 1D and 2D at 4, 6, 9, 12 and 24 hours after ICU admission (all p < 0.001). Insulin infusion was higher in the 1D group. Corrected for insulin dose in multivariable linear analysis, the difference in glucose between the 1D and 2D groups was 1.5 mmol/L (95% confidence interval 1.0–2.0, p < 0.001) 12 hours after ICU admission.</p> <p>Conclusion</p> <p>Dexamethasone exerts a hyperglycemic effect in cardiac surgery patients. Patients receiving high-dose corticosteroid therapy should be monitored and treated more intensively for hyperglycemic episodes.</p

Supersymmetry of Rotating Branes

We present a new 1/8 supersymmetric intersecting M-brane solution of D=11 supergravity with two independent rotation parameters. The metric has a non-singular event horizon and the near-horizon geometry is adS_3\times S^3\times S^3\times\bE^2 (just as in the non-rotating case). We also present a method of determining the isometry supergroup of supergravity solutions from the Killing spinors and use it to show that for the near horizon solution it is $D(2|1,\alpha)\times D(2|1,\alpha)$ where $\alpha$ is the ratio of the two 3-sphere radii. We also consider various dimensional reductions of our solution, and the corresponding effect of these reductions on the Killing spinors and the isometry supergroups.Comment: Latex, 29 page

Background geometry of DLCQ M theory on a p-torus and holography

Via supergravity, we argue that the infinite Lorentz boost along the M theory circle a la Seiberg toward the DLCQ M theory compactified on a p-torus (p<5) implies the holographic description of the microscopic theory. This argument lets us identify the background geometries of DLCQ $M$ theory on a p-torus; for p=0 (p=1), the background geometry turns out to be eleven-dimensional (ten-dimensional) flat Minkowski space-time, respectively. Holography for these cases results from the localization of the light-cone momentum. For p = 2,3,4, the background geometries are the tensor products of an Anti de Sitter space and a sphere, which, according to the AdS/CFT correspondence, have the holographic conformal field theory description. These holographic descriptions are compatible to the microscopic theory of Seiberg based on $\tilde{M}$ theory on a spatial circle with the rescaled Planck length, giving an understanding of the validity of the AdS/CFT correspondence.Comment: 16 pages, Revtex, no figure

Attachment of HeLa cells during early G1 phase

Both growth factor directed and integrin dependent signal transduction were shown to take place directly after completion of mitosis. The local activation of these signal transduction cascades was investigated in early G1 cells. Interestingly, various key signal transduction proteins were found in blebs at the cell membrane within 30 min after mitosis. These membrane blebs appeared in round, mitotic-like cells and disappeared rapidly during spreading of the cells in G1 phase. In addition to tyrosine-phosphorylated proteins, the blebs contained also phosphorylated FAK and phosphorylated MAP kinase. The formation of membrane blebs in round, mitotic cells before cell spreading is not specific for mitotic cells, because similar features were observed in trypsinized cells. Just before cell spreading also these cells exhibited membrane blebs containing active signal transduction proteins. Inhibition of signal transduction did not affect membrane bleb formation, suggesting that the membrane blebs were formed independent of signal transduction