3,380 research outputs found
Catastrophic health care expenditure due to septic shock and dengue shock in Vietnam
BACKGROUND: The cost of treatment for infectious shock in intensive care in Vietnam is unknown. METHODS: We prospectively investigated hospital bills for adults treated for septic and dengue shock in Vietnam and calculated the proportion who faced catastrophic health care expenditures. RESULTS: The median hospital bills were US57 for dengue shock (n=88). Catastrophic payments were incurred by 47% (47/100) and 13% (11/88) of patients with septic shock and dengue shock, respectively, and 56% (25/45) and 84% (5/6) fatal cases of septic shock and dengue shock respectively. CONCLUSIONS: Further advocacy is required to moderate insurance co-payments for costly critical care interventions
An extragalactic supernebula confined by gravity
Little is known about the origins of the giant star clusters known as
globular clusters. How can hundreds of thousands of stars form simultaneously
in a volume only a few light years across the distance of the sun to its
nearest neighbor? Radiation pressure and winds from luminous young stars should
disperse the star-forming gas and disrupt the formation of the cluster.
Globular clusters in our Galaxy cannot provide answers; they are billions of
years old. Here we report the measurement of infrared hydrogen recombination
lines from a young, forming super star cluster in the dwarf galaxy, NGC 5253.
The lines arise in gas heated by a cluster of an estimated million stars, so
young that it is still enshrouded in gas and dust, hidden from optical view. We
verify that the cluster contains 4000-6000 massive, hot "O" stars. Our
discovery that the gases within the cluster are bound by gravity may explain
why these windy and luminous O stars have not yet blown away the gases to allow
the cluster to emerge from its birth cocoon. Young clusters in "starbursting"
galaxies in the local and distant universe may be similarly gravitationally
confined and cloaked from view.Comment: Letter to Natur
Effects of monoculture and polyculture farming in oil palm smallholdings on terrestrial arthropod diversity
Oil palm agriculture has become one of the economic mainstays for biodiversity-rich countries in the tropics. The conversion of native forests to oil palm monoculture plantation has caused unprecedented biodiversity loss in Southeast Asia. Little is known about the effects of oil palm polyculture farming on arthropod diversity. In this study, arthropods were sampled using pitfall traps at 120 sites in Peninsular Malaysia. We examined how arthropod biodiversity responded to different oil palm farming practices and local-scale vegetation structure characteristics. We found that the number of arthropod orders was significantly greater in polyculture than monoculture smallholdings. However, we did not detect a significant difference in arthropod order composition nor abundance between monoculture and polyculture practices. In situ habitat characteristics explained 16% of the variation in arthropod order richness, with key predictor variables including farming practice, height of oil palm stands, and number of immature palm. The findings of this study suggest that polyculture farming together with management for in situ habitat complexity may be a useful strategy in supporting biodiversity within in oil palm plantations
The space group classification of topological band insulators
Topological band insulators (TBIs) are bulk insulating materials which
feature topologically protected metallic states on their boundary. The existing
classification departs from time-reversal symmetry, but the role of the crystal
lattice symmetries in the physics of these topological states remained elusive.
Here we provide the classification of TBIs protected not only by time-reversal,
but also by crystalline symmetries. We find three broad classes of topological
states: (a) Gamma-states robust against general time-reversal invariant
perturbations; (b) Translationally-active states protected from elastic
scattering, but susceptible to topological crystalline disorder; (c) Valley
topological insulators sensitive to the effects of non-topological and
crystalline disorder. These three classes give rise to 18 different
two-dimensional, and, at least 70 three-dimensional TBIs, opening up a route
for the systematic search for new types of TBIs.Comment: Accepted in Nature Physic
Motivational interviewing for low mood and adjustment early after stroke: a feasibility randomised trial
Background
Management of psychological adjustment and low mood after stroke can result in positive health outcomes. We have adapted a talk-based therapy, motivational interviewing (MI), and shown it to be potentially effective for managing low mood and supporting psychological adjustment post-stroke in a single-centre trial. In the current study, we aimed to explore the feasibility of delivering MI using clinical stroke team members, and using an attention control (AC), to inform the protocol for a future definitive trial.
Methods
This parallel two-arm feasibility trial took place in north-west England. Recruitment occurred between December 2012 and November 2013. Participants were stroke patients aged 18 years or over, who were medically stable, had no severe communication problems, and were residents of the hospital catchment. Randomisation was to MI or AC, and was conducted by a researcher not involved in recruitment using opaque sealed envelopes. The main outcome measures were descriptions of study feasibility (recruitment/retention rates, MI delivery by clinical staff, use of AC) and acceptability (through qualitative interviews and completion of study measures), and fidelity to MI and AC (through review of session audio-recordings). Information was also collected on participants’ mood, quality of life, adjustment, and resource-use.
Results
Over 12 months, 461 patients were screened, 124 were screened eligible, and 49 were randomised: 23 to MI, 26 to AC. At 3 months, 13 MI and 18 AC participants completed the follow-up assessment (63% retention). This was less than expected based on our original trial. An AC was successfully implemented. Alternative approaches would be required to ensure the feasibility of clinical staff delivering MI. The study measures, MI, and AC interventions were considered acceptable, and there was good fidelity to the interventions. There were no adverse events related to study participation.
Conclusions
It was possible to recruit and retain participants, train clinical staff to deliver MI, and implement an appropriate AC. Changes would be necessary to conduct a future multi-centre trial, including: assuming a recruitment rate lower than that in the current study; implementing more strategies to increase participant retention; and considering alternative clinical staff groups to undertake the delivery of MI and AC
Who Cares About Being Gentle? The Impact of Social Identity and the Gender of One’s Friends on Children’s Display of Same-Gender Favoritism
This research assessed children’s same-gender favoritism by examining whether children value traits descriptive of their own gender more than traits descriptive of the other gender. We also investigated whether children’s proportion of same-gender friends relates to their same-gender favoritism. Eighty-one third and fourth grade children from the Midwest and West Coast of the U.S. rated how well 19 personality traits describe boys and girls, and how important each trait is for their gender to possess. Results replicate and extend past trait assignment research by demonstrating that both genders valued same-gender traits significantly more than other-gender traits. Results also indicated that boys with many same-gender friends derogated feminine-stereotyped traits, which has implications for research on masculinity norms within male-dominated peer groups
Gravitational Waves from Gravitational Collapse
Gravitational wave emission from the gravitational collapse of massive stars
has been studied for more than three decades. Current state of the art
numerical investigations of collapse include those that use progenitors with
realistic angular momentum profiles, properly treat microphysics issues,
account for general relativity, and examine non--axisymmetric effects in three
dimensions. Such simulations predict that gravitational waves from various
phenomena associated with gravitational collapse could be detectable with
advanced ground--based and future space--based interferometric observatories.Comment: 68 pages including 13 figures; revised version accepted for
publication in Living Reviews in Relativity (http://www.livingreviews.org
Topological Crystalline Insulators in the SnTe Material Class
Topological crystalline insulators are new states of matter in which the
topological nature of electronic structures arises from crystal symmetries.
Here we predict the first material realization of topological crystalline
insulator in the semiconductor SnTe, by identifying its nonzero topological
index. We predict that as a manifestation of this nontrivial topology, SnTe has
metallic surface states with an even number of Dirac cones on high-symmetry
crystal surfaces such as {001}, {110} and {111}. These surface states form a
new type of high-mobility chiral electron gas, which is robust against disorder
and topologically protected by reflection symmetry of the crystal with respect
to {110} mirror plane. Breaking this mirror symmetry via elastic strain
engineering or applying an in-plane magnetic field can open up a continuously
tunable band gap on the surface, which may lead to wide-ranging applications in
thermoelectrics, infrared detection, and tunable electronics. Closely related
semiconductors PbTe and PbSe also become topological crystalline insulators
after band inversion by pressure, strain and alloying.Comment: submitted on Feb. 10, 2012; to appear in Nature Communications; 5
pages, 4 figure
Neurospora from natural populations: Population genomics insights into the Life history of a model microbial Eukaryote
The ascomycete filamentous fungus Neurospora crassa played a historic role in experimental biology and became a model system for genetic research. Stimulated by a systematic effort to collect wild strains initiated by Stanford geneticist David Perkins, the genus Neurospora has also become a basic model for the study of evolutionary processes, speciation, and population biology. In this chapter, we will first trace the history that brought Neurospora into the era of population genomics. We will then cover the major contributions of population genomic investigations using Neurospora to our understanding of microbial biogeography and speciation, and review recent work using population genomics and genome-wide association mapping that illustrates the unique potential of Neurospora as a model for identifying the genetic basis of (potentially adaptive) phenotypes in filamentous fungi. The advent of population genomics has contributed to firmly establish Neurospora as a complete model system and we hope our review will entice biologists to include Neurospora in their research
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