Nine new species of Begonia (Begoniaceae) from South and West Sulawesi, Indonesia

Nine new species of Begonia (Begoniaceae), Begonia comestibilis D.C.Thomas & Ardi, B. insueta D.C.Thomas & Ardi, B. lasioura D.C.Thomas & Ardi, B. nobmanniae D.C.Thomas & Ardi, B. prionota D.C.Thomas & Ardi, B. rantemarioensis D.C.Thomas & Ardi, B. sanguineopilosa D.C.Thomas & Ardi, B. torajana D.C.Thomas & Ardi and B. vermeulenii D.C.Thomas, are described from South and West Sulawesi, Indonesia. All belong to Begonia section Petermannia. Proposed conservation categories for these species are Vulnerable (VU) for Begonia comestibilis, B. nobmanniae, B. prionota, B. sanguineopilosa and B. vermeulenii; Least Concern (LC) for B. lasioura, B. rantemarioensis and B. torajana; and Data Deficient (DD) for B. insueta. An identification key to Begonia in South and West Sulawesi (Sulawesi Selatan and Sulawesi Barat) is provided. © 2011 Trustees of the Royal Botanic Garden Edinburgh.published_or_final_versio

Realization of GHZ States and the GHZ Test via Cavity QED

In this article we discuss the realization of atomic GHZ states involving three-level atoms and we show explicitly how to use this state to perform the GHZ test in which it is possible to decide between local realism theories and quantum mechanics. The experimental realizations proposed makes use of the interaction of Rydberg atoms with a cavity prepared in a coherent state.Comment: 16 pages and 3 figures. submitted to J. Mod. Op

How should an infected perinephric haematoma be drained in a tetraplegic patient with baclofen pump implanted in the abdominal wall? – A case report

BACKGROUND: We present a case to illustrate controversies in percutaneous drainage of infected, perinephric haematoma in a tetraplegic patient, who had implantation of baclofen pump in anterior abdominal wall on the same side as perinephric haematoma. CASE PRESENTATION: A 56-year-old male with C-4 tetraplegia had undergone implantation of programmable pump in the anterior abdominal wall for intrathecal infusion of baclofen to control spasticity. He developed perinephric haematoma while he was taking warfarin as prophylactic for deep vein thrombosis. Perinephric haematoma became infected with a resistant strain of Pseudomonas aeruginosa, and required percutaneous drainage. Positioning this patient on his abdomen without anaesthesia, for insertion of a catheter from behind, was not a realistic option. Administration of general anaesthesia in this patient in the radiology department would have been hazardous. RESULTS AND CONCLUSION: Percutaneous drainage was carried out by anterior approach under propofol sedation. The site of entry of percutaneous catheter was close to cephalic end of baclofen pump. By carrying out drainage from anterior approach, and by keeping this catheter for ten weeks, we took a risk of causing infection of the baclofen pump site, and baclofen pump with a resistant strain of Pseudomonas aeruginosa. The alternative method would have been to anaesthetise the patient and position him prone for percutaneous drainage of perinephric collection from behind. This would have ensured that the drainage track was far away from the baclofen pump with minimal risk of infection of baclofen pump, but at the cost of incurring respiratory complications in a tetraplegic subject

Drivers of Holocene peatland carbon accumulation across a climate gradient in northeastern North America

Peatlands are an important component of the Holocene global carbon (C) cycle and the rate of C sequestration and storage is driven by the balance between net primary productivity and decay. A number of studies now suggest that climate is a key driver of peatland C accumulation at large spatial scales and over long timescales, with warmer conditions associated with higher rates of C accumulation. However, other factors are also likely to play a significant role in determining local carbon accumulation rates and these may modify past, present and future peatland carbon sequestration. Here, we test the importance of climate as a driver of C accumulation, compared with hydrological change, fire, nitrogen content and vegetation type, from records of C accumulation at three sites in northeastern North America, across the N-S climate gradient of raised bog distribution. Radiocarbon age models, bulk density values and %C measurements from each site are used to construct C accumulation histories commencing between 11,200 and 8000cal. years BP. The relationship between C accumulation and environmental variables (past water table depth, fire, peat forming vegetation and nitrogen content) is assessed with linear and multivariate regression analyses. Differences in long-term rates of carbon accumulation between sites support the contention that a warmer climate with longer growing seasons results in faster rates of long-term carbon accumulation. However, mid-late Holocene accumulation rates show divergent trends, decreasing in the north but rising in the south. We hypothesise that sites close to the moisture threshold for raised bog distribution increased their growth rate in response to a cooler climate with lower evapotranspiration in the late Holocene, but net primary productivity declined over the same period in northern areas causing a decrease in C accumulation. There was no clear relationship between C accumulation and hydrological change, vegetation, nitrogen content or fire, but early successional stages of peatland growth had faster rates of C accumulation even though temperatures were probably lower at the time. We conclude that climate is the most important driver of peatland accumulation rates over millennial timescales, but that successional vegetation change is a significant additional influence. Whilst the majority of northern peatlands are likely to increase C accumulation rates under future warmer climates, those at the southern limit of distribution may show reduced rates. However, early succession peatlands that develop under future warming at the northern limits of peatland distribution are likely to have high rates of C accumulation and will compensate for some of the losses elsewhere

Ultrasonic Characterization of Porosity in Composites

The determination of levels of porosity is important in the engineering uses of graphite fiber/polymer matrix composites, since the interlaminar shear strength can be greatly reduced by excessive porosity [1]. Research in making nondestructive evaluations using ultrasonics as the probing energy has taken many directions. Hsu [2] has successfully modeled the frequency dependent attenuation to predict porosity levels in composites. Kline [3] has extended the work of Hashsin and Rosen [4] to determine the porosity and fiber volume fraction of composites by solving for the elastic coefficients of the composite structure. The propagation of leaky Lamb waves [5] has also been used to model porosity levels

A Semi-Lagrangian scheme for a modified version of the Hughes model for pedestrian flow

In this paper we present a Semi-Lagrangian scheme for a regularized version of the Hughes model for pedestrian flow. Hughes originally proposed a coupled nonlinear PDE system describing the evolution of a large pedestrian group trying to exit a domain as fast as possible. The original model corresponds to a system of a conservation law for the pedestrian density and an Eikonal equation to determine the weighted distance to the exit. We consider this model in presence of small diffusion and discuss the numerical analysis of the proposed Semi-Lagrangian scheme. Furthermore we illustrate the effect of small diffusion on the exit time with various numerical experiments

Protocol for the Smoking, Nicotine and Pregnancy (SNAP) trial: double-blind, placebo-randomised, controlled trial of nicotine replacement therapy in pregnancy

Background: Smoking in pregnancy remains a public health challenge. Nicotine replacement therapy (NRT) is effective for smoking cessation in non-pregnant people, but because women metabolise nicotine and cotinine much faster in pregnancy, it is unclear whether this will be effective for smoking cessation in pregnancy. The NHS Health Technology Assessment Programme (HTA)-funded smoking, nicotine and pregnancy ( SNAP) trial will investigate whether or not nicotine replacement therapy ( NRT) is effective, cost-effective and safe when used for smoking cessation by pregnant women. Methods/Design: Over two years, in 5 trial centres, 1050 pregnant women who are between 12 and 24 weeks pregnant will be randomised as they attend hospital for ante-natal ultrasound scans. Women will receive either nicotine or placebo transdermal patches with behavioural support. The primary outcome measure is biochemically-validated, self-reported, prolonged and total abstinence from smoking between a quit date ( defined before randomisation and set within two weeks of this) and delivery. At six months after childbirth self-reported maternal smoking status will be ascertained and two years after childbirth, self-reported maternal smoking status and the behaviour, cognitive development and respiratory symptoms of children born in the trial will be compared in both groups. Discussion: This trial is designed to ascertain whether or not standard doses of NRT ( as transdermal patches) are effective and safe when used for smoking cessation during pregnancy

Does a SLAP lesion affect shoulder muscle recruitment as measured by EMG activity during a rugby tackle?

Background: The study objective was to assess the influence of a SLAP lesion on onset of EMG activity in shoulder muscles during a front on rugby football tackle within professional rugby players. Methods: Mixed cross-sectional study evaluating between and within group differences in EMG onset times. Testing was carried out within the physiotherapy department of a university sports medicine clinic. The test group consisted of 7 players with clinically diagnosed SLAP lesions, later verified on arthroscopy. The reference group consisted of 15 uninjured and full time professional rugby players from within the same playing squad. Controlled tackles were performed against a tackle dummy. Onset of EMG activity was assessed from surface EMG of Pectorialis Major, Biceps Brachii, Latissimus Dorsi, Serratus Anterior and Infraspinatus muscles relative to time of impact. Analysis of differences in activation timing between muscles and limbs (injured versus non-injured side and non injured side versus matched reference group). Results: Serratus Anterior was activated prior to all other muscles in all (P = 0.001-0.03) subjects. In the SLAP injured shoulder Biceps was activated later than in the non-injured side. Onset times of all muscles of the noninjured shoulder in the injured player were consistently earlier compared with the reference group. Whereas, within the injured shoulder, all muscle activation timings were later than in the reference group. Conclusions: This study shows that in shoulders with a SLAP lesion there is a trend towards delay in activation time of Biceps and other muscles with the exception of an associated earlier onset of activation of Serratus anterior, possibly due to a coping strategy to protect glenohumeral stability and thoraco-scapular stability. This trend was not statistically significant in all cases

Spatial contrast sensitivity in adolescents with autism spectrum disorders

Adolescents with autism spectrum disorders (ASD) and typically developing (TD) controls underwent a rigorous psychophysical assessment that measured contrast sensitivity to seven spatial frequencies (0.5-20 cycles/degree). A contrast sensitivity function (CSF) was then fitted for each participant, from which four measures were obtained: visual acuity, peak spatial frequency, peak contrast sensitivity, and contrast sensitivity at a low spatial frequency. There were no group differences on any of the four CSF measures, indicating no differential spatial frequency processing in ASD. Although it has been suggested that detail-oriented visual perception in individuals with ASD may be a result of differential sensitivities to low versus high spatial frequencies, the current study finds no evidence to support this hypothesis

Effectiveness of physiotherapy exercise following hip arthroplasty for osteoarthritis: a systematic review of clinical trials

Background: Physiotherapy has long been a routine component of patient rehabilitation following hip joint replacement. The purpose of this systematic review was to evaluate the effectiveness of physiotherapy exercise after discharge from hospital on function, walking, range of motion, quality of life and muscle strength, for osteoarthritic patients following elective primary total hip arthroplasty. Methods: Design: Systematic review, using the Cochrane Collaboration Handbook for Systematic Reviews of Interventions and the Quorom Statement. Database searches: AMED, CINAHL, EMBASE, KingsFund, MEDLINE, Cochrane library (Cochrane reviews, Cochrane Central Register of Controlled Trials, DARE), PEDro, The Department of Health National Research Register. Handsearches: Physiotherapy, Physical Therapy, Journal of Bone and Joint Surgery (Britain) Conference Proceedings. No language restrictions were applied. Selection: Trials comparing physiotherapy exercise versus usual/standard care, or comparing two types of relevant exercise physiotherapy, following discharge from hospital after elective primary total hip replacement for osteoarthritis were reviewed. Outcomes: Functional activities of daily living, walking, quality of life, muscle strength and range of hip joint motion. Trial quality was extensively evaluated. Narrative synthesis plus meta-analytic summaries were performed to summarise the data. Results: 8 trials were identified. Trial quality was mixed. Generally poor trial quality, quantity and diversity prevented explanatory meta-analyses. The results were synthesised and meta-analytic summaries were used where possible to provide a formal summary of results. Results indicate that physiotherapy exercise after discharge following total hip replacement has the potential to benefit patients. Conclusion: Insufficient evidence exists to establish the effectiveness of physiotherapy exercise following primary hip replacement for osteoarthritis. Further well designed trials are required to determine the value of post discharge exercise following this increasingly common surgical procedure