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Influence of convection and biomass burning outflow on tropospheric chemistry over the tropical Pacific
Observations over the tropics from the Pacific Exploratory Mission-Tropics A Experiment are analyzed using a one-dimensional model with an explicit formulation for convective transport. Adopting tropical convective mass fluxes from a general circulation model (GCM) yields a large discrepancy between observed and simulated CH3I concentrations. Observations of CH3I imply the convective mass outflux to be more evenly distributed with altitude over the tropical ocean than suggested by the GCM. We find that using a uniform convective turnover lifetime of 20 days in the upper and middle troposphere enables the model to reproduce CH3I observations. The model reproduces observed concentrations of H2O2 and CH3OOH. Convective transport of CH3OOH from the lower troposphere is estimated to account for 40-80% of CH3OOH concentrations in the upper troposphere. Photolysis of CH3OOH transported by convection more than doubles the primary HOx source and increases OH concentrations and O3 production by 10-50% and 0.4 ppbv d-1, respectively, above 11 km. Its effect on the OH concentration and O3 production integrated over the tropospheric column is, however, small. The effects of pollutant import from biomass burning regions are much more dominant. Using C2H2 as a tracer, we estimate that biomass burning outflow enhances O3 concentrations, O3 production, and concentrations of NOx and OH by 60%, 45%, 75%, and 7%, respectively. The model overestimates HNO3 concentrations by about a factor of 2 above 4 km for the upper one-third quantile of C2H2 data while it generally reproduces HNO3 concentrations for the lower and middle one-third quantiles of C2H2 data. Copyright 2000 by the American Geophysical Union
Two patient controlled sedation techniques compared using Graseby PCA pump
Abstract no. 17published_or_final_versio
Efficient white and red light emission from GaN/tris-(8-hydroxyquinolato) aluminum/platinum(II) meso-tetrakis(pentafluorophenyl) porphyrin hybrid light-emitting diodes
A study based on the analysis of white and red light emitted from GaN light-emitting diodes was presented. The enhancement in the light emission efficiency was brought about by the employing of an aluminum based hybrid material, tris-(8-hydroxyquinolato) aluminum. The luminescence conversion (LC) efficiency of the LEDs were observed to be 3.3% for white LC-LED and 4.0% for red LC-LED, respectively.published_or_final_versio
Development of metal-containing polymers for optoelectronic applications
Most of the work in organic electroluminescent polymers has been focused on organic conjugated polymers. However, polymers attached with transition metal complex have received relatively less attention. We have synthesized and studied the light emitting properties of some metal containing polymers based on the polypyridine complexes of rhenium and ruthenium. These complexes exhibit long-lived excited states caused by the metal to ligand charge transfer transitions. By varying the structure of the ligand and/or the transition metal, we are able to fine-tune the electronic properties of the resulting metal complexes.We have synthesized a series of poly(phenylenevinylene) (PPV) derivatives which are functionalized with ruthenium polypyridine complexes at the polymer mainchain or side chain. These complexes are able to act as photosensitizers which enhance the photoconductivity of these polymers at longer wavelength. Both the conjugatedbackbone and the metal complex can emit light upon excitation. As a result, it is possible to tune the color by loading different amount of ruthenium complex to the polymer. Luminescence studies showed that the ruthenium complex could quench the emission of the conjugated backbone in some polymers, which suggests an energy transfer processbetween the backbone and the metal complexes. It was also found that the presence of metal complexes could enhance the charge carrier mobilities of the polymers, as the metal and/or ligands can act as extra charge carriers in the charge transport process.published_or_final_versio
Ultraviolet Lasing Characteristics of ZnS Microbelt Lasers
published_or_final_versio
Absolute quantitation of DNA methylation of 28 candidate genes in prostate cancer using pyrosequencing
This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.Aberrant DNA methylation plays a pivotal role in carcinogenesis and its mapping is likely to provide biomarkers for improved diagnostic and risk assessment in prostate cancer (PCa). We quantified and compared absolute methylation levels among 28 candidate genes in 48 PCa and 29 benign prostate hyperplasia (BPH) samples using the pyrosequencing (PSQ) method to identify genes with diagnostic and prognostic potential.
RARB, HIN1, BCL2, GSTP1, CCND2, EGFR5, APC, RASSF1A, MDR1, NKX2-5, CDH13, DPYS, PTGS2, EDNRB, MAL, PDLIM4, HLAa, ESR1 and TIG1 were highly methylated in PCa compared to BPH (p < 0.001), while SERPINB5, CDH1, TWIST1, DAPK1, THRB, MCAM, SLIT2, CDKN2a and SFN were not. RARB methylation above 21% completely distinguished PCa from BPH. Separation based on methylation level of SFN, SLIT2 and SERPINB5 distinguished low and high Gleason score cancers, e.g. SFN and SERPINB5 together correctly classified 81% and 77% of high and low Gleason score cancers respectively. Several genes including CDH1 previously reported as methylation markers in PCa were not confirmed in our study. Increasing age was positively associated with gene methylation (p < 0.0001).
Accurate quantitative measurement of gene methylation in PCa appears promising and further validation of genes like RARB, HIN1, BCL2, APC and GSTP1 is warranted for diagnostic potential and SFN, SLIT2 and SERPINB5 for prognostic potential
Understanding interobserver variability of pathologists to improve oral epithelial dysplasia grading
\ua9 2024 The Author(s). Oral Diseases published by John Wiley & Sons Ltd. Objective: This study aimed to understand reasons for interobserver variability in the grading of oral epithelial dysplasia (OED) through a survey of pathologists to provide insight for improvements in the reliability and reproducibility of OED diagnoses. Methods: The study design included quantitative and qualitative methodology. A pre-validated 31-item questionnaire was distributed to general, head and neck, and oral and maxillofacial histopathology specialists worldwide. Results: A total of 132 pathologists participated and completed the questionnaire. Over two-thirds used the three-tier grading system for OED, while about a third used both binary and three-tier systems. Regular reporters of OED preferred the three-tier system and grading architectural features. Continuing education significantly aided recognition of architectural and cytological changes. Irregular epithelial stratification and drop-shaped rete ridges had the lowest prognostic value and recognition scores, while loss of epithelial cell cohesion had the highest. Most participants used clinical information and often sought a second opinion when grading OED. Conclusion: Our study has found that frequency of OED reporting and attendance of CME/CPD can play an important role in grading OED. Variations in the prognostic value of individual histological features and the use of clinical information may further contribute to interobserver variability
The Association of Types of Training and Practice Settings with Doctors’ Empathy and Patient Enablement among Patients with Chronic Illness in Hong Kong
Background
The increase in non-communicable disease (NCD) is becoming a global health problem and there is an increasing need for primary care doctors to look after these patients although whether family doctors are adequately trained and prepared is unknown.
Objective
This study aimed to determine if doctors with family medicine (FM) training are associated with enhanced empathy in consultation and enablement for patients with chronic illness as compared to doctors with internal medicine training or without any postgraduate training in different clinic settings.
Methods
This was a cross-sectional questionnaire survey using the validated Chinese version of the Consultation and Relational Empathy (CARE) Measure as well as Patient Enablement Instrument (PEI) for evaluation of quality and outcome of care. 14 doctors from hospital specialist clinics (7 with family medicine training, and 7 with internal medicine training) and 13 doctors from primary care clinics (7 with family medicine training, and 6 without specialist training) were recruited. In total, they consulted 823 patients with chronic illness. The CARE Measure and PEI scores were compared amongst doctors in these clinics with different training background: family medicine training, internal medicine training and those without specialist training. Generalized estimation equation (GEE) was used to account for cluster effects of patients nested with doctors.
Results
Within similar clinic settings, FM trained doctors had higher CARE score than doctors with no FM training. In hospital clinics, the difference of the mean CARE score for doctors who had family medicine training (39.2, SD = 7.04) and internal medicine training (35.5, SD = 8.92) was statistically significant after adjusting for consultation time and gender of the patient. In the community care clinics, the mean CARE score for doctors with family medicine training and those without specialist training were 32.1 (SD = 7.95) and 29.2 (SD = 7.43) respectively, but the difference was not found to be significant. For PEI, patients receiving care from doctors in the hospital clinics scored significantly higher than those in the community clinics, but there was no significant difference in PEI between patients receiving care from doctors with different training backgrounds within similar clinic setting.
Conclusion
Family medicine training was associated with higher patient perceived empathy for chronic illness patients in the hospital clinics. Patient enablement appeared to be associated with clinic settings but not doctors' training background. Training in family medicine and a clinic environment that enables more patient doctor time might help in enhancing doctors' empathy and enablement for chronic illness patients.published_or_final_versio
Simple non-laboratory-based and laboratory-based risk assessment algorithms and nomogram for detecting undiagnosed diabetes mellitus
This journal suppl. entitled: Abstracts of the 10th International Diabetes Federation–Western Pacific Region Congress and the 6th AASD Scientific MeetingBACKGROUND: Early detection for undiagnosed diabetes mellitus (DM), through routine screening periodically, is critical to prevent or delay severe diabetes-related complications. In order to classify high-risk subjects for DM screening, risk algorithms for undiagnosed DM detection have been richly developed and validated in diverse populations and health care settings. However, the majority of risk algorithms developed within Chinese population were developed and validated in low income setting. Furthermore, there are no nomograms for the use in detecting undiagnosed DM, of which are simple-to-use graphical tool to guide decision-making in both routine clinical practice and community setting. The purpose of this study was to develop simple a nomogram to predict the risk of undiagnosed DM for use in asymptomatic general population, based on non-laboratory-based ...postprin
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