Quality of Life in a Mixed Ethnic Population after Myocardial Infarction

Background: Although South Asian people are a significant ethnic group at increased risk of coronary heart disease and high mortality rates and experience greater delays with respect to diagnosis, referral and treatment, comparatively little is known about their quality of life during recovery from a myocardial infarction.Objectives: We sought to determine and compare the impact of ethnicity on quality of life after myocardial infarction (MI) in a mixed ethnic population (South Asian and white people) in the UK.Methods: A 2x2 mixed-group design with repeated measures on the second factor. The independent variables were ethnic group (white/South Asian) and time since MI (2 weeks/3 months). The dependent variables were the subscale scores on the Short-Form 36-item health survey (SF-36) and the Hospital Anxiety and Depression Scale (HADS).Results: At 2 weeks, significant differences were observed between groups on 5 of the 8 SF-36 subscale domain scores, with the white group reporting higher quality of life. Significant improvement in reported quality of life occurred in both groups over time on all domains of the SF-36, except bodily pain. There was a significantly greater improvement in favour of the white group for the role-physical domain. There was no significant difference between groups in terms of anxiety or depression at 2 weeks. Both groups showed a significant reduction in anxiety and depression by 3 months, but the degree of reduction was not significantly different between them. At 3 months, there was no significant difference between groups in terms of anxiety scores, but the South Asian group scored significantly higher on the depression scale.Conclusions: South Asian people have significantly poorer quality of life than white people after MI. While both groups showed improvement over time, South Asian people reported significantly less improvement in physical role function and were more depressed at 3 months. Identifying the factors accounting for such differences is important to develop models of care for delivering the most effective and culturally-sensitive interventions to this group

Exploring the spatial variation in the fertilizer-nitrogen requirement of wheat within fields

The fertilizer-nitrogen (N) requirement for wheat grown in the UK varies from field to field. Differences in the soil type, climate and cropping history result in differences in (i) the crops’ demands for N, (ii) the supply of N from the soil (SNS) and (iii) the recovery of the fertilizer by the crops. These three components generally form the basis of systems for N recommendation. Three field experiments were set out to investigate the variation of the N requirement for wheat within fields and to explore the importance of variation in the crops’ demands for N, SNS and fertilizer recovery in explaining the differences in the economic optima for N. The N optima were found to vary by >100 kg N/ha at two of the sites. At the other site, the yield response to N was small. Yields at the optimum rate of N varied spatially by c. 4 t/ha at each site. Soil N supply, which was estimated by the unfertilized crops’ harvested N, varied spatially by 120, 75 and 60 kg/ha in the three experiments. Fertilizer recovery varied spatially from 30% to >100% at each of the sites. There were clear relationships between the SNS and the N optima at all the three sites. The expected relationship between the crop's demand for N and N optima was evident at only one of the three sites. There was no consistent relationship between the N recovery and the N optima. A consistent relationship emerged, however, between the optimal yield and SNS; areas with a greater yield potential tending to also supply more N from the soil. This moderated the expected effect of the SNS and the crop's demand for N on the N optima

On the orbital and physical parameters of the HDE 226868/Cygnus X-1 binary system

In this paper we explore the consequences of the recent determination of the mass m=(8.7 +/- 0.8)M_Sun of Cygnus X-1, obtained from the Quasi-Periodic Oscillation (QPO)-photon index correlation scaling, on the orbital and physical properties of the binary system HDE 226868/Cygnus X-1. By using such a result and the latest spectroscopic optical data of the HDE 226868 supergiant star we get M=(24 +/- 5)M_Sun for its mass. It turns out that deviations from the third Kepler law significant at more than 1-sigma level would occur if the inclination i of the system's orbital plane to the plane of the sky falls outside the range 41-56 deg: such deviations cannot be due to the first post-Newtonian (1PN) correction to the orbital period because of its smallness; interpreted in the framework of the Newtonian theory of gravitation as due to the stellar quadrupole mass moment Q, they are unphysical because Q would take unreasonably large values. By conservatively assuming that the third Kepler law is an adequate model for the orbital period we obtain i=(48 +/- 7) deg which yields for the relative semimajor axis a=(42 +/- 9)R_Sun. Our estimate for the Roche's lobe of HDE 226868 is r_M = (21 +/- 6)R_Sun.Comment: Latex2e, 7 pages, 1 table, 4 figures. To appear in ApSS (Astrophysics and Space Science

Demonstration of a Transportable 1 Hz-Linewidth Laser

We present the setup and test of a transportable clock laser at 698 nm for a strontium lattice clock. A master-slave diode laser system is stabilized to a rigidly mounted optical reference cavity. The setup was transported by truck over 400 km from Braunschweig to D\"usseldorf, where the cavity-stabilized laser was compared to a stationary clock laser for the interrogation of ytterbium (578 nm). Only minor realignments were necessary after the transport. The lasers were compared by a Ti:Sapphire frequency comb used as a transfer oscillator. The thus generated virtual beat showed a combined linewidth below 1 Hz (at 1156 nm). The transport back to Braunschweig did not degrade the laser performance, as was shown by interrogating the strontium clock transition.Comment: 3 pages, 4 figure

Amplitude to phase conversion of InGaAs pin photo-diodes for femtosecond lasers microwave signal generation

When a photo-diode is illuminated by a pulse train from a femtosecond laser, it generates microwaves components at the harmonics of the repetition rate within its bandwidth. The phase of these components (relative to the optical pulse train) is known to be dependent on the optical energy per pulse. We present an experimental study of this dependence in InGaAs pin photo-diodes illuminated with ultra-short pulses generated by an Erbium-doped fiber based femtosecond laser. The energy to phase dependence is measured over a large range of impinging pulse energies near and above saturation for two typical detectors, commonly used in optical frequency metrology with femtosecond laser based optical frequency combs. When scanning the optical pulse energy, the coefficient which relates phase variations to energy variations is found to alternate between positive and negative values, with many (for high harmonics of the repetition rate) vanishing points. By operating the system near one of these vanishing points, the typical amplitude noise level of commercial-core fiber-based femtosecond lasers is sufficiently low to generate state-of-the-art ultra-low phase noise microwave signals, virtually immune to amplitude to phase conversion related noise.Comment: 7 pages, 6 figures, submitted to Applied Physics

Molecular simulation of chevrons in confined smectic liquid crystals

Chevron structures adopted by confined smectic liquid crystals are investigated via molecular dynamics simulations of the Gay-Berne model. The chevrons are formed by quenching nematic films confined between aligning planar substrates whose easy axes have opposing azimuthal components. When the substrates are perfectly smooth, the chevron formed migrates rapidly towards one of the confining walls to yield a tilted layer structure. However, when substrate roughness is included, by introducing a small-amplitude modulation to the particle- substrate interaction well-depth, a symmetric chevron is formed which remains stable over sufficiently long runtimes for detailed structural information, such as the relevant order parameters and director orien- tation, to be determined. For both smooth and rough boundaries, the smectic order parameter remains non-zero across the entire chevron, implying that layer identity is maintained across the chevron tip. Also, when the surface-stabilised chevron does eventually revert to a tilted layer structure, it does so via surface slippage, such that layer integrity is maintained throughout the chevron to tilted layer relaxation process. </p

The anti-NGF antibody muMab 911 both prevents and reverses pain behaviour and subchondral osteoclast numbers in a rat model of osteoarthritis pain

Objective: Nerve growth factor (NGF) has a pivotal role in peripheral hyperalgesia and inflammation; anti-NGF antibodies attenuate pain responses in inflammatory pain models, and in people with osteoarthritis (OA) or low back pain. The aim of this study was to characterise the peripheral mechanisms contributing to the analgesic effects of anti-NGF antibody treatment in an established model of joint pain, which mimics key clinical features of OA. Design: Effects of preventative vs therapeutic treatment with an anti-NGF antibody (monoclonal antibody 911: muMab 911 (10 mg/kg, s.c.)) on pain behaviour (weight bearing asymmetry and hindpaw withdrawal thresholds (PWT)), cartilage damage, synovitis and numbers of subchondral osteoclasts were investigated in the monosodium iodoacetate (MIA) model. Potential direct effects of NGF on receptor activator of nuclear factor kappa-B ligand (RANKL) mediated osteoclastogenesis were investigated in cultured human osteoclasts. Results: Intra-articular MIA injection resulted in significant pain behaviour, cartilage damage, synovitis and increased numbers of subchondral osteoclasts. Both preventative and therapeutic treatment with muMab 911 significantly prevented, or reversed, MIA-induced pain behaviour, but did not alter cartilage or synovial pathology quantified at the end of the treatment period. NGF did not facilitate RANKL driven osteoclast differentiation in vitro, but preventative or therapeutic muMab 911 reduced numbers of TRAP positive osteoclasts in the subchondral bone. Conclusions: We demonstrate that anti-NGF antibody treatment attenuates OA pain behaviour despite permitting cartilage damage and synovitis. Indirec

Effects of increasing replacement of dietary fishmeal with plant protein sources on growth performance and body lipid composition of Atlantic salmon (Salmo salar L.)

The effects of high levels of replacement of dietary fish meal (FM) by mixtures of plant protein (PP) sources on growth performance, lipid composition, protein and lipid digestibility and fatty acid profile were investigated in Atlantic salmon, Salmo salar. Experimental diets containing 35% protein and 28% lipid were formulated with a low level of FM that was replaced by increasing levels of PP resulting in four diets of 25/45 ((% FM/% PP, F25), 18/50 (F18) 11/55 (F11) and 5/60 (F5). Dietary oil was supplied by a fish oil (FO) and rapeseed oil blend at a ratio of ~40/60 so this formulation was effectively a dual replacement of FO and FM. Diets were supplemented with crystalline amino acids, to compensate for the reduction in indispensible amino acids due to reduced FM content, and all diets were supplemented with lecithin. Salmon, initial weight 1.30 ± 0.1 kg, were fed one of the four experimental diets for 19 weeks. Feed consumption decreased as PP inclusion in diets increased, probably as a result of reduced palatability. Fish fed the F18, F11 and F5 diets had significantly lower final body weights than fish fed the F25 diet, with SGR decreased by 5 %, 11 % and 23 %, respectively. The lower growth as FM inclusion in diets decreased was associated with decreased feed intake throughout the trial. In contrast, nutrient utilization was significantly affected in the first phase with increased FCR and decreased PER as FM inclusion decreased. However, there were no significant differences in these parameters in the second phase suggesting that there was metabolic adaptation to the diets. Changes in feed physical texture and/or chemical olfactory attractants possibly reduced the palatability of the diets. Essential fatty acid composition, in particular EPA, DHA and ARA in salmon flesh and liver were not negatively affected by dietary treatment and there was some evidence of increased retention and/or synthesis of LC-PUFA