Three-dimensional echocardiography for left ventricular quantification in heart failure

Rossum, A.C. van [Promotor]Kamp, O. [Copromotor

Proposal for a race-track microtron with high peak current

In order to obtain high gain in a free electron laser a high-quality electron beam with high peak current is required. It is well-known that a microtron is able to produce a high-quality beam having low emittance and small energy spread (1%). Because a circular microtron has a limited high-current capability a race-track design is adopted for providing flexibility, better beam quality and of course higher peak current in the microbunch. Space charge problems may be severe in a microtron. It can be shown that bunching on certain specific subharmonic frequencies will lead to a strong reduction of the space charge problems. The general layout of our microtron design will be presented. The characteristics are: energy 25 MeV, micropulse 10° of the rf frequency of 3 GHz. Our aim is to come beyond the present state of the art with the following characteristics: relative energy spread 0.001, emittance 3 mm mrad, current in the micropulse 100 A, macropulse length 50 μs and subharmonic bunching at 1:64

Drought, mutualism breakdown, and landscape-scale degradation of seagrass beds

Contains fulltext : 166345.pdf (publisher's version ) (Closed access

Coastal restoration success via emergent trait-mimicry is context dependent

Coastal ecosystems provide vital ecosystem functions and services, but have been rapidly degrading due to human impacts. Restoration is increasingly considered key to reversing these losses, but is often unsuccessful. Recent work on seagrasses and salt marsh cordgrasses highlights that restoration yields can be greatly enhanced by temporarily mimicking key emergent traits. These traits are not expressed by individual seedlings or small clones, but emerge in clumped individuals or large clones to locally suppress environmental stress, causing establishment thresholds where such density-dependent self-facilitation is important for persistence. It remains unclear, however, to what extent the efficacy of restoration via emergent trait-based mimicry depends on the intensity of stressors. We test this in a restoration experiment with the temperate seagrass Zostera marina at four sites (Finland, Sweden, UK, USA) with contrasting hydrodynamic regimes, where we simulated dense roots mats or vegetation canopies with biodegradable structural mimics. Results show that by mimicking sediment-stabilizing root mats, seagrass transplant survival, growth and expansion was strongly enhanced in hydrodynamically exposed environments. However, these positive effects decreased and turned negative under benign conditions, while mimics insufficiently mitigated physical stress in extremely exposed environments, illustrating upper and lower limits of the application. Furthermore, we found that aboveground structures, designed to mimic stiff rather than flexible vegetation canopies, underperformed compared to belowground mimics. Our findings emphasize the importance of understanding the conditions at the restoration site, species-specific growth requirements, and self-facilitating traits that organisms may express when applying emergent trait-mimicry as a tool to improve restoration success

Advance Care Planning for frail older adults: Findings on costs in a cluster randomised controlled trial

Background: Advance Care Planning aims at improving alignment of care with patients’ preferences. This may affect costs of medical care. Aim: To determine the costs of an Advance Care Planning programme and its effects on the costs of medical care and on concordance of care with patients’ preferences. Design/settings/participants: In a cluster randomised trial, 16 residential care homes were randomly allocated to the intervention group, where frail, older participants were offered facilitated Advance Care Planning conversations or to the control group. We calculated variable costs of Advance Care Planning per participant including personnel and travel costs of facilitators. Furthermore, we assessed participants’ healthcare use during 12 months applying a broad perspective (including medical care, inpatient days in residential care homes, home care) and calculated costs of care per participant. Finally, we investigated whether treatment goals were in accordance with preferences. Analyses were conducted for 97 participants per group. Trial registration number: NTR4454. Results: Average variable Advance Care Planning costs were €76 per participant. The average costs of medical care were not significantly different between the intervention and control group (€2360 vs €2235, respectively, p = 0.36). Costs of inpatient days in residential care homes (€41,

Mimicry of emergent traits amplifies coastal restoration success

Contains fulltext : 221224.pdf (publisher's version ) (Open Access

Initiating and upscaling mussel reef establishment with life cycle informed restoration:Successes and future challenges

Worldwide, coastal ecosystems are rapidly degrading in quality and extent. While novel restoration designs include facilitation to enhance restoration success in stressful environments, they typically focus on a single life-stage, even though many organisms go through multiple life-stages accompanied by different bottlenecks. A new approach – life cycle informed restoration – was designed to ameliorate multiple bottlenecks throughout an organism's life cycle. It has successfully been tested on a small scale to facilitate intertidal bivalve reef formation in the Netherlands and Florida. Yet, it remains unknown whether this approach can be scaled to ecosystem-relevant scales. To test whether life cycle informed restoration is upscalable, we conducted a large-scale restoration experiment using blue mussel reefs as a model system. In our experiment, we used biodegradable structures to temporarily facilitate mussel reef formation by providing early-life settlement substrates, and subsequently, reduce post-settlement predation on an intertidal flat in the Wadden Sea, the Netherlands. The structures were placed in 10 × 20 m plots, mimicking bands found in natural mussel beds, spread out across 650 m, and were followed for two years. Our results show that the structures enhance mussel biomass (0.7 ± 0.2 kg DW m−2), as mussels were absent in bare plots. However, biomass varied within plots; in intact structures it was 60 times higher (1.2 ± 0.2 kg DW m−2) than in those that became buried (0.02 ± 0.009 kg DW m−2). Next to burial, 18–46% of the structures were lost due to technical failure, especially during winters at this exposed site. We show that the life cycle informed restoration principle works, but we encountered technical challenges due to larger scale processes (e.g. sedimentation). Furthermore, environmental information is essential for site selection, and for restoration, the functioning of such structures should be tested under extreme conditions before upscaling

Differential effects of natural flavonoids on growth and iodide content in a human NA+/I_symporter-transfecred follicular thyroid carcinoma cell line

OBJECTIVE: Natural flavonoids (plant pigments) have been shown to inhibit thyroid peroxidase (TPO) in vitro and the growth of thyroid cancer cell lines. We have studied the role of flavonoids on the iodide transport and the growth of the human follicular thyroid cancer cell line (FTC133) which was stably transfected with the human Na(+)/I(-) symporter (hNIS). DESIGN AND METHODS: Cells were treated with flavonoids (0.5-50 microM) for 0, 2, 4 and 6 days; (125)I content and (125)I efflux of the cells and DNA content were measured. RESULTS: Cell growth was inhibited significantly at day 6 by most flavonoids. Eight out of ten flavonoids decreased the (125)I content of the cells at day 4. Morin did not influence the (125)I content of the cells and, surprisingly, myricetin increased the (125)I content of the cells. Kaempferol, apigenin, luteolin and F21388 decreased NIS mRNA expression after 15, 29 and 48 h; after 96 h NIS mRNA returned to normal. CONCLUSION: As TPO is not present in this cell line, the effects of the flavonoids on the iodide uptake are not related to organification. Myricetin was the only flavonoid studied that increased the influx and decreased the efflux of iodide. The effect of myricetin (decreased growth and increased retention of iodide) can be of therapeutic value in the radioiodide treatment of thyroid carcinom

Differential effects of natural flavonoids on growth and iodide content in a human NA+/I_symporter-transfecred follicular thyroid carcinoma cell line

OBJECTIVE: Natural flavonoids (plant pigments) have been shown to inhibit thyroid peroxidase (TPO) in vitro and the growth of thyroid cancer cell lines. We have studied the role of flavonoids on the iodide transport and the growth of the human follicular thyroid cancer cell line (FTC133) which was stably transfected with the human Na(+)/I(-) symporter (hNIS). DESIGN AND METHODS: Cells were treated with flavonoids (0.5-50 microM) for 0, 2, 4 and 6 days; (125)I content and (125)I efflux of the cells and DNA content were measured. RESULTS: Cell growth was inhibited significantly at day 6 by most flavonoids. Eight out of ten flavonoids decreased the (125)I content of the cells at day 4. Morin did not influence the (125)I content of the cells and, surprisingly, myricetin increased the (125)I content of the cells. Kaempferol, apigenin, luteolin and F21388 decreased NIS mRNA expression after 15, 29 and 48 h; after 96 h NIS mRNA returned to normal. CONCLUSION: As TPO is not present in this cell line, the effects of the flavonoids on the iodide uptake are not related to organification. Myricetin was the only flavonoid studied that increased the influx and decreased the efflux of iodide. The effect of myricetin (decreased growth and increased retention of iodide) can be of therapeutic value in the radioiodide treatment of thyroid carcinom