3,112 research outputs found

    Management and perinatal outcomes of hypertensive disorders of pregnancy in a low-resource setting in Indonesia

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    Objectives: To provide up-to-date data concerning hypertensive disorders of pregnancy on maternal and neonatal profiles in Indonesia. Methods: Retrospective clinical audit on all pregnancy-associated hypertensive women between 1 January 2020 and 31 March 2020 at Cianjur General District Hospital. Results: Preeclampsia accounts for 66.8% (235/352) of hypertensive disorders of pregnancy, gestational hypertension 29% (102/352) and chronic hypertension 4.3% (15/352). Compared to other pregnant women, those with preeclampsia, on average, had higher systolic and diastolic blood pressures and poorer kidney (ureum and creatinine) and liver function (aspartate transaminase enzyme and alanine transaminase enzyme) profiles (p < 0.001, < 0.001, < 0.001, 0.003, 0.033 and 0.002, respectively), and required more intensive care admission. Neonates from women with severe forms of preeclampsia (eclampsia and HELLP syndrome (haemolysis, elevated liver enzymes, low platelets)) had, on average, lower birthweight (p = 0.015 and 0.048, respectively) and birth length (p = 0.021, 0.017). Neonates from eclamptic mothers had poorer APGAR (appearance, pulse, grimace, activity and respiration) scores (p = 0.006 and 0.005, respectively). Conclusion: Hypertensive disorders of pregnancy exerts adverse maternal and neonatal outcomes, particularly among eclampsia and HELLP-syndrome neonates. Various challenges remain for optimal management

    A new method for experimental characterisation of scattered radiation in 64-slice CT scanner

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    PURPOSE: The consummate 64-slice CT scanner that spawns a new generation of non-invasive diagnostic tool, however revolutionary, brings with it the incidental by-product that is scattered radiation. The extended detector aperture capability in the 64-slcie CT scanner allows the effects of scattered radiation to be more pronounced and therefore demands that the magnitude and spatial distribution of scatter component be addressed during the imaging process. To this end, corrective algorithms need to be formulated on a basis of a precise understanding of scatter distribution. Relative to a 64-slice CT scanner, here now a unique solution is based upon dedicated blockers operative within various detector rows, calculating scatter profiles and scatter to primary ratios (SPR). MATERIALS AND METHODS: A single dimension blocker array was installed beneath the collimator, and the extrapolated shadow area on the detectors revealed the scatter radiation after exposure. The experiment was conducted using a 64-slice CT scanner manufactured by GE Healthcare Technologies. RESULTS: Variables such as tube voltage, phantom size and phantom-off centring on the scatter profile and the SPR was measured using the dedicated blocker method introduced above. When tube voltage is increased from 80kVp to 140kVp in a 21.5 cm water phantom, the SPR is found to reduce from 219.9 to 39.9 respectively. CONCLUSION: The method developed within this study is applicable to any measurement and is direct with minimal complexity

    Limits of minimal models and continuous orbifolds

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    The lambda=0 't Hooft limit of the 2d W_N minimal models is shown to be equivalent to the singlet sector of a free boson theory, thus paralleling exactly the structure of the free theory in the Klebanov-Polyakov proposal. In 2d, the singlet sector does not describe a consistent theory by itself since the corresponding partition function is not modular invariant. However, it can be interpreted as the untwisted sector of a continuous orbifold, and this point of view suggests that it can be made consistent by adding in the appropriate twisted sectors. We show that these twisted sectors account for the `light states' that were not included in the original 't Hooft limit. We also show that, for the Virasoro minimal models (N=2), the twisted sector of our orbifold agrees precisely with the limit theory of Runkel & Watts. In particular, this implies that our construction satisfies crossing symmetry.Comment: 33 pages; v2: minor improvements and references added, published versio

    The tumor suppressor Scrib interacts with the zyxin-related protein LPP, which shuttles between cell adhesion sites and the nucleus

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    BACKGROUND: At sites of cell adhesion, proteins exist that not only perform structural tasks but also have a signaling function. Previously, we found that the Lipoma Preferred Partner (LPP) protein is localized at sites of cell adhesion such as focal adhesions and cell-cell contacts, and shuttles to the nucleus where it has transcriptional activation capacity. LPP is a member of the zyxin family of proteins, which contains five members: ajuba, LIMD1, LPP, TRIP6 and zyxin. LPP has three LIM domains (zinc-finger protein interaction domains) at its carboxy-terminus, which are preceded by a proline-rich pre-LIM region containing a number of protein interaction domains. RESULTS: To catch the role of LPP at sites of cell adhesion, we made an effort to identify binding partners of LPP. We found the tumor suppressor protein Scrib, which is a component of cell-cell contacts, as interaction partner of LPP. Human Scrib, which is a functional homologue of Drosophila scribble, is a member of the leucine-rich repeat and PDZ (LAP) family of proteins that is involved in the regulation of cell adhesion, cell shape and polarity. In addition, Scrib displays tumor suppressor activity. The binding between Scrib and LPP is mediated by the PDZ domains of Scrib and the carboxy-terminus of LPP. Both proteins localize in cell-cell contacts. Whereas LPP is also localized in focal adhesions and in the nucleus, Scrib could not be detected at these locations in MDCKII and CV-1 cells. Furthermore, our investigations indicate that Scrib is dispensable for targeting LPP to focal adhesions and to cell-cell contacts, and that LPP is not necessary for localizing Scrib in cell-cell contacts. We show that all four PDZ domains of Scrib are dispensable for localizing this protein in cell-cell contacts. CONCLUSIONS: Here, we identified an interaction between one of zyxin's family members, LPP, and the tumor suppressor protein Scrib. Both proteins localize in cell-cell contacts. This interaction links Scrib to a communication pathway between cell-cell contacts and the nucleus, and implicates LPP in Scrib-associated functions

    Inelastic cyclic response of RBS connections with jumbo sections

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    This paper examines the cyclic performance of reduced beam section (RBS) moment connections incorporating larger member sizes than those allowed in the current seismic provisions for prequalified steel connections, through experimentally validated three-dimensional nonlinear numerical assessments. Validations of the adopted nonlinear finite element procedures are carried out against experimental results from two test series, including four full-scale RBS connections comprising large structural members, outside the prequalification limits. After gaining confidence in the ability of the numerical models to predict closely the full inelastic response and failure modes, parametric investigations are undertaken. Particular attention is given to assessing the influence of the RBS-to-column capacity ratio as well as the RBS geometry and location on the overall response. The numerical results and test observations provide a detailed insight into the structural behavior, including strength, ductility, and failure modes of large RBS connections. It is shown that connections which consider sections beyond the code limits, by up to two times the weight or beam depth limits, developed a stable inelastic response characterized by beam flexural yielding and inelastic local buckling. However, connections with very large beam sections, up to three-times the typically prescribed limits, exhibited significant hardening resulting in severe demands at the welds, hence increasing susceptibility to weld fracture and propagation through the column. The findings from this study point to the need, in jumbo sections with thick flanges, for a deeper RBS cut than currently specified in design, to about 66% of the total beam width. This modification would be required to promote a response governed by extensive yielding at the RBS while reducing the excessive strain demands at the beam-to-column welds. Moreover, for connections incorporating relatively deep columns, it is shown that more stringent design requirements need to be followed, combined with appropriate bracing outside the RBS, to avoid out-of-plane rotation

    Current progress on removal of recalcitrance coloured particles from anaerobically treated effluent using coagulation–flocculation

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    The palm oil industry is the most important agro industries in Malaysia and most of the mills adopt anaerobic digestion as their primary treatment for palm oil mill effluent (POME). Due to the public concern, decolourisation of anaerobically treated POME (AnPOME) is becoming a great concern. Presence of recalcitrant-coloured particles hinders biological processes and coagulation–flocculation may able to remove these coloured particles. Several types of inorganic and polymers-based coagulant/flocculant aids for coagulation–flocculation of AnPOME have been reviewed. Researchers are currently interested in using natural coagulant and flocculant aids. Modification of the properties of natural coagulant and flocculant aids enhanced coagulation–flocculation performance. Modelling and optimization of the coagulation–flocculation process have also been reviewed. Chemical sludge has the potential for plant growth that can be evaluated through pot trials and phytotoxicity test

    Revealing the electronic structure of a carbon nanotube carrying a supercurrent

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    Carbon nanotubes (CNTs) are not intrinsically superconducting but they can carry a supercurrent when connected to superconducting electrodes. This supercurrent is mainly transmitted by discrete entangled electron-hole states confined to the nanotube, called Andreev Bound States (ABS). These states are a key concept in mesoscopic superconductivity as they provide a universal description of Josephson-like effects in quantum-coherent nanostructures (e.g. molecules, nanowires, magnetic or normal metallic layers) connected to superconducting leads. We report here the first tunneling spectroscopy of individually resolved ABS, in a nanotube-superconductor device. Analyzing the evolution of the ABS spectrum with a gate voltage, we show that the ABS arise from the discrete electronic levels of the molecule and that they reveal detailed information about the energies of these levels, their relative spin orientation and the coupling to the leads. Such measurements hence constitute a powerful new spectroscopic technique capable of elucidating the electronic structure of CNT-based devices, including those with well-coupled leads. This is relevant for conventional applications (e.g. superconducting or normal transistors, SQUIDs) and quantum information processing (e.g. entangled electron pairs generation, ABS-based qubits). Finally, our device is a new type of dc-measurable SQUID

    Evidence for F(uzz) Theory

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    We show that in the decoupling limit of an F-theory compactification, the internal directions of the seven-branes must wrap a non-commutative four-cycle S. We introduce a general method for obtaining fuzzy geometric spaces via toric geometry, and develop tools for engineering four-dimensional GUT models from this non-commutative setup. We obtain the chiral matter content and Yukawa couplings, and show that the theory has a finite Kaluza-Klein spectrum. The value of 1/alpha_(GUT) is predicted to be equal to the number of fuzzy points on the internal four-cycle S. This relation puts a non-trivial restriction on the space of gauge theories that can arise as a limit of F-theory. By viewing the seven-brane as tiled by D3-branes sitting at the N fuzzy points of the geometry, we argue that this theory admits a holographic dual description in the large N limit. We also entertain the possibility of constructing string models with large fuzzy extra dimensions, but with a high scale for quantum gravity.Comment: v2: 66 pages, 3 figures, references and clarifications adde