Content Analysis of General Practitioner Requested Lumbar Spine X-ray Reports

Aims and Background X-rays of patients with low back pain rarely show serious pathology but frequently reveal incidental age-related changes and always expose people to radiation. Patients who have X-rays are more satisfied but report worse pain and disability. Psychological factors such as illness beliefs,catastrophizing and fear avoidance have been shown to be predictors of chronicity/disability. Authorities suggest that the way X-ray information is transmitted and interpreted by patients may influence outcome, therefore this study was designed to determine the words used by radiologists to describe lumbar spine Xrays. Methods: 120 consecutive X-ray reports for patients referred by primary care physicians were anonymised. A formal summative content analysis was undertaken. The coded words were grouped into categories according to their perceived meaning, and the process was refined until there were only three mutually exclusive categories. Results: Half the sample was aged 60 years or younger. Three categories were identified: anatomical, pathological and descriptive. In the pathological category, 33% of words described normal appearances, 47% described age-related changes and 20% described other features. In only 2% of cases were pathological words used to describe conditions as being "normal for age". Overall, 89 (74%) of the 120 reports contained at least one phrase containing words indicating the presence of degenerative changes. Conclusions: Almost three-quarters of lumbar spine X-ray reports use pathological words such as 'degenerative changes' to describe age-related changes but rarely describe them as being "normal for age"

Macroscopic Parity Violation and Supernova Asymmetries

Core collapse supernovae are dominated by weakly interacting neutrinos. This provides a unique opportunity for macroscopic parity violation. We speculate that parity violation in a strong magnetic field can lead to an asymmetry in the explosion and a recoil of the newly formed neutron star. We estimate the asymmetry from neutrino-polarized-neutron elastic scattering, polarized electron capture and neutrino-nucleus elastic scattering in a (partially) polarized electron gas.Comment: Nine pages Revtex, two postscript figures (included

The effect of reinfection and mixed Trypanosoma cruzi infections on disease progression in mice

The progression of Chagas disease (CD) varies significantly from host to host and is affected by multiple factors. In particular, mixed strain infections and reinfections have the potential to exacerbate disease progression subsequently affecting clinical management of patients with CD. Consequently, an associated reduction in therapeutic intervention and poor prognosis may occur due to this exacerbated disease state. This study investigated the effects of mixed strain infections and reinfection with Trypanosoma cruzi in mice, using two isolates from different discrete typing units, TcI (C8 clone 1) and TcIV (10R26). There were no significant differences in mortality rate, body weight or body condition among mice infected with either C8 clone 1, 10R26, or a mixture of both isolates. However, the parasite was found in a significantly greater number of host organs in mice infected with a mixture of isolates, and the histopathological response to infection was significantly greater in mice infected with C8 clone 1 alone, and C8 clone 1 + 10R26 mixed infections than in mice infected with 10R26 alone. To investigate the effects of reinfection, mice received either a double exposure to C8 clone 1; a double exposure to 10R26; exposure to C8 clone 1 followed by 10R26; or exposure to 10R26 followed by C8 done 1. Compared to single infection groups, mortality was significantly increased, while survival time, body weight and body condition were all significantly decreased across all reinfection groups, with no significant differences among these groups. The mortality rate over all reinfection groups was 63.6%, compared to 0% in single infection groups, however there was no evidence of a greater histopathological response to infection. These results suggest firstly, that the C8 clone 1 isolate is more virulent than the 10R26 isolate, and secondly, that a more disseminated infection may occur with a mixture of isolates than with single isolates, although there is no evidence that mixed infections have a greater pathological effect. By contrast, reinfections do have major effects on host survivability and thus disease outcome. This confirms previous research demonstrating spontaneous deaths following reinfection, a phenomenon that to our knowledge has only been reported once before

Effects of feeding low levels of crude glycerin with or without other by-products on performance and carcass characteristics of feedlot heifers

Expansion of the renewable fuels industries has increased availability of by-products that are well suited for use as cattle feed. Glycerin is among the principal by-products of biodiesel production, comprising approximately 10% (by weight) of the soybean oil that is used to manufacture soy-based diesel fuel. Our previous research evaluated effects of including between 0% and 16% glycerin in flaked-corn finishing diets and revealed that optimal growth performance was achieved with 2% glycerin addition. Our laboratory experiments have suggested that even lower levels of glycerin may be effective at stimulating digestion. Therefore, the objective of this study was to evaluate effects of low levels of glycerin in the diet on performance and carcass characteristics of finishing cattle. Furthermore, because distillers grains and other by-products are increasingly common in feedlot rations, we opted to evaluate glycerin in corn-based finishing diets as well as in diets that consisted of a combination of corn grain, distillers grains, and soybean hulls

Thermomechanical deformation behavior and mechanisms in transition metal carbides

Mechanical testing over 2000oC is arduous because of the required heating, compliance in components, and potential specimen reactions to name a few. In this talk, the use of a non-contact means of thermomechanical loading, initially demonstrated by Gangireddy and Halloran, is applied to TaC and HfC. By passing a current through the carbide, it is resistively heated and, in the presence of a magnetic field, the specimen bends under the Lorentz force. Using a variety of loads and temperatures up to 3000oC, the thermomechanical behavior is quantified for a series of tantalum and hafnium carbides. Findings include more deflection in TaC than HfC at equivalent load/temperatures which is contributed to TaC’s ease of {111} slip. At failure, TaC exhibited abnormal grain growth with multiple slip band formations on the fractured surface. In contrast, HfC exhibited minimal grain growth and substantially less slip band formations. Additional studies determining the relationship between load at failure as a function of temperature were determined. The collective results will be discussed in terms of TEM and DFT analysis of slip mechanisms in transition metal carbides

The thermal regime around buried submarine high voltage cables

The expansion of offshore renewable energy infrastructure and the need for trans-continental shelf power transmission require the use of submarine High Voltage (HV) cables. These cables have maximum operating surface temperatures of up to 70°C and are typically buried 1–2 m beneath the seabed, within the wide range of substrates found on the continental shelf. However, the heat flow pattern and potential effects on the sedimentary environments around such anomalously high heat sources in the near surface sediments are poorly understood. We present temperature measurements from a 2D laboratory experiment representing a buried submarine HV cable, and identify the thermal regimes generated within typical unconsolidated shelf sediments—coarse silt, fine sand and very coarse sand. We used a large (2 × 2.5 m) tank filled with water-saturated spherical glass beads (ballotini) and instrumented with a buried heat source and 120 thermocouples, to measure the time-dependent 2D temperature distributions. The observed and corresponding Finite Element Method (FEM) simulations of the steady state heat flow regimes, and normalised radial temperature distributions were assessed. Our results show that the heat transfer and thus temperature fields generated from submarine HV cables buried within a range of sediments are highly variable. Coarse silts are shown to be purely conductive, producing temperature increases of >10°C up to 40 cm from the source of 60°C above ambient; fine sands demonstrate a transition from conductive to convective heat transfer between c. 20°C and 36°C above ambient, with >10°C heat increases occurring over a metre from the source of 55°C above ambient; and very coarse sands exhibit dominantly convective heat transfer even at very low (c. 7°C) operating temperatures and reaching temperatures of up to 18°C above ambient at a metre from the source at surface temperatures of only 18°C. These findings are important for the surrounding near surface environments experiencing such high temperatures and may have significant implications for chemical and physical processes operating at the grain and sub-grain scale; biological activity at both micro-faunal and macro-faunal levels; and indeed the operational performance of the cables themselves, as convective heat transport would increase cable current ratings, something neglected in existing standards

Complexation of novel thiomers and insulin to protect against in vitro enzymatic degradation: towards oral insulin delivery.

A significant barrier to oral insulin delivery is its enzymatic degradation in the gut. Nano-sized polymer-insulin polyelectrolyte complexes (PECS) have been developed to protect insulin against enzymatic degradation. Poly(allylamine) (Paa) was trimethylated to yield QPaa. Thiolation of Paa and QPaa was achieved by attaching either N-acetylcysteine (NAC), or thiobutylamidine (TBA) ligands (Paa-NAC/QPaa-NAC and Paa-TBA/QPaa-TBA thiomers). PEC formulations were prepared in Tris buffer (pH 7.4) at various polymer:insulin mass ratios (0.2:1-2:1). PECS were characterised by %transmittance of light and photon correlation spectroscopy. Insulin complexation efficiency and enzyme-protective effect of these complexes was determined by HPLC. Complexation with insulin was found to be optimal at mass ratios of 0.4-1:1 for all polymers. PECS in this mass range were positively-charged (20-40 mV), nanoparticles (50-200 nm), with high insulin complexation efficiency (> 90 %). Complexation with TBA polymers appeared to result in disulphide bridge formation between the polymers and insulin. In vitro enzymatic degradation assays of QPaa, Paa-NAC, and QPaa-NAC PECS showed that they all offered some protection against insulin degradation by trypsin and {esc}ga{esc}s-chymotrypsin, but not from pepsin. QPaa-NAC complexes with insulin are the most promising formulation for future work, given their ability to offer protection against intestinal enzymes. This work highlights the importance of optimising polymer structure in the delivery of proteins

In-vitro evaluation of the effect of polymer structure on uptake of novel polymer-insulin polyelectrolyte complexes by human epithelial cells.

The biocompatibility and cellular uptake of polymer, insulin polyelectrolyte complexes (PECs) prepared using polyallylamine-based polymers was evaluated in-vitro using Caco-2 cell monolayers as a predictive model for human small intestinal epithelial cells. Poly(allyl amine) (PAA) and Quaternised PAA (QPAA) were thiolated using either carbodiimide mediated conjugation to N-acetylcysteine (NAC) or reaction with 2-iminothiolane hydrochloride yielding their NAC and 4-thiobutylamidine (TBA) conjugates, respectively. The effect of polymer quaternisation and/or thiolation on the IC50 of PAA was determined by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay carried out on Caco-2 cells (with and without a 24 h recovery period after samples were removed). Uptake of PECs by Caco-2 cells was monitored by microscopy using fluorescein isothiocyanate (FITC) labelled insulin and rhodamine-labelled polymers at polymer:insulin ratios (4:5) after 0.5, 1, 2 and 4 h incubation in growth media (±calcium) and following pre-incubation with insulin. MTT results indicated that quaternisation of PAA was associated with an improvement in IC50 values; cells treated with QPAA (0.001-4 mg mL-1) showed no signs of toxicity following a 24 h cell recovery period, while thiolation of QPAA resulted in a decrease in the IC50. Cellular uptake studies showed that within 2-4 h, QPAA and QPAA-TBA insulin PECs were taken up intracellularly, with PECs being localised within the perinuclear area of cells. Further investigation showed that uptake of PECs was unaffected when calcium-free media was used, while presaturating insulin receptors affected the uptake of QPAA, insulin PECs, but not QPAA-TBA PECs. The biocompatibility of PAA and uptake of insulin was improved by both thiol and quaternary substitution