What makes the health system tick?

2 page(s

Dendritic reidite from the Chesapeake Bay impact horizon, Ocean Drilling Program Site 1073 (offshore northeastern USA): A fingerprint of distal ejecta?

High-pressure minerals provide records of processes not normally preserved in Earth’s crust. Reidite, a quenchable polymorph of zircon, forms at pressures >20 GPa during shock compression. However, there is no broad consensus among empirical, experimental, and theoretical studies on the nature of the polymorphic transformation. Here we decipher a multistage history of reidite growth recorded in a zircon grain in distal impact ejecta (offshore northeastern United States) from the ca. 35 Ma Chesapeake Bay impact event which, remarkably, experienced near-complete conversion (89%) to reidite. The grain displays two distinctive reidite habits: (1) intersecting sets of planar lamellae that are dark in cathodoluminescence (CL); and (2) dendritic epitaxial overgrowths on the lamellae that are luminescent in CL. While the former is similar to that described in literature, the latter has not been previously reported. A two-stage growth model is proposed for reidite formation at >40 GPa in Chesapeake Bay impact ejecta: formation of lamellar reidite by shearing during shock compression, followed by dendrite growth, also at high pressure, via recrystallization. The dendritic reidite is interpreted to nucleate on lamellae and replace damaged zircon adjacent to lamellae, which may be amorphous ZrSiO4 or possibly an intermediate phase, all before quenching. These results provide new insights on the microstructural evolution of the highpressure polymorphic transformation over the microseconds-long interval of reidite stability during meteorite impact. Given the formation conditions, dendritic reidite may be a unique indicator of distal ejecta

Highly efficient fullerene and non-fullerene based ternary organic solar cells incorporating a new tetrathiocin-cored semiconductor

A new dual-chain oligothiophene-based organic semiconductor, EH-5T-TTC, is presented. The molecule contains two conjugated chains linked by a fused tetrathiocin core. X-ray crystallography reveals a boat conformation within the 8-membered sulfur heterocycle core and extensive π–π and intermolecular sulfur–sulfur interactions in the bulk, leading to a 2-dimensional structure. This unusual molecule has been studied as a ternary component in organic solar cell blends containing the electron donor PTB7-Th and both fullerene (PC71BM) and non-fullerene acceptors ITIC and EH-IDTBR. By incorporating EH-5T-TTC as a ternary component, the power conversion efficiency of the binary blends containing non-fullerene acceptor increases by 17% (from 7.8% to 9.2%) and by 85% for the binary blend with fullerene acceptor (from 3.3% to 6.3%). Detailed characterisation of the ternary blend systems implies that the ternary small molecule EH-5T-TTC functions differently in polymer:fullerene and polymer:non-fullerene blends and has dual functions of morphology modification and complementary spectral absorption

Amplification of Earthquake Ground Motions in Washington, DC, and Implications for Hazard Assessments in Central and Eastern North America

The extent of damage in Washington, DC, from the 2011 MW 5.8 Mineral, VA, earthquake was surprising for an epicenter 130 km away; U.S. Geological Survey “Did-You-Feel-It” reports suggest that Atlantic Coastal Plain and other unconsolidated sediments amplified ground motions in the city. We measure this amplification relative to bedrock sites using earthquake signals recorded on a temporary seismometer array. The spectral ratios show strong amplification in the 0.7 to 4 Hz frequency range for sites on sediments. This range overlaps with resonant frequencies of buildings in the city as inferred from their heights, suggesting amplification at frequencies to which many buildings are vulnerable to damage. Our results emphasize that local amplification can raise moderate ground motions to damaging levels in stable continental regions, where low attenuation extends shaking levels over wide areas and unconsolidated deposits on crystalline metamorphic or igneous bedrock can result in strong contrasts in near-surface material properties

The Development Of A Modern Foraminiferal Data Set For Sea-Level Reconstructions, Wakatobi Marine National Park, Southeast Sulawesi, Indonesia

We collected modern foraminiferal samples to characterize the foraminiferal environments and investigate the role that temporal and spatial variability may play in controlling the nature and significance of foraminiferal assemblages of the mangroves of Kaledupa, Wakatobi Marine National Park, Southeast Sulawesi, Indonesia. The study of foraminiferal live and dead assemblages indicates that dead assemblages are least prone to vary in time and space, and furthermore, they accurately represent the subsurface assemblages that are the focus of paleoenvironmental reconstructions. Further analyses of the dead assemblages indicate a vertical zonation of foraminifera within the intertidal zone. Zone D-Ia is dominated by agglutinated foraminifera Arenoparrella mexicana, Miliammina fusca, M. obliqua and Trochammina inflata. Zone D-Ib has mixed agglutinated/calcareous assemblages with species such as T. inflata and Ammonia tepida. Zone D-II is dominated by numerous calcareous species including A. tepida, Discorbinella bertheloti, Elphidium advenum and Quinqueloculina spp. Zone D-Ia is found to be the most accurate sea-level indicator and its assemblages are omnipresent world-wide. Zones D-Ib and D-II are subject to both spatial and temporal variations which must be included in any sea-level reconstructions

Buprenorphine versus dihydrocodeine for opiate detoxification in primary care: a randomised controlled trial

Background Many drug users present to primary care requesting detoxification from illicit opiates. There are a number of detoxification agents but no recommended drug of choice. The purpose of this study is to compare buprenorphine with dihydrocodeine for detoxification from illicit opiates in primary care. Methods Open label randomised controlled trial in NHS Primary Care (General Practices), Leeds, UK. Sixty consenting adults using illicit opiates received either daily sublingual buprenorphine or daily oral dihydrocodeine. Reducing regimens for both interventions were at the discretion of prescribing doctor within a standard regimen of not more than 15 days. Primary outcome was abstinence from illicit opiates at final prescription as indicated by a urine sample. Secondary outcomes during detoxification period and at three and six months post detoxification were recorded. Results Only 23% completed the prescribed course of detoxification medication and gave a urine sample on collection of their final prescription. Risk of non-completion of detoxification was reduced if allocated buprenorphine (68% vs 88%, RR 0.58 CI 0.35–0.96, p = 0.065). A higher proportion of people allocated to buprenorphine provided a clean urine sample compared with those who received dihydrocodeine (21% vs 3%, RR 2.06 CI 1.33–3.21, p = 0.028). People allocated to buprenorphine had fewer visits to professional carers during detoxification and more were abstinent at three months (10 vs 4, RR 1.55 CI 0.96–2.52) and six months post detoxification (7 vs 3, RR 1.45 CI 0.84–2.49). Conclusion Informative randomised trials evaluating routine care within the primary care setting are possible amongst drug using populations. This small study generates unique data on commonly used treatment regimens

Comparison of Low Cost Miniature Spectrometers for Volcanic SO2 Emission Measurements

Miniature ultraviolet USB coupled spectrometers have become ubiquitously applied over the last decade for making volcanic SO2 emission rate measurements. The dominantly applied unit has recently been discontinued however, raising the question of which currently available devices should now be implemented. In this paper, we consider, and make recommendations on this matter, by studying a number of inexpensive compact spectrometers in respect of measurement performance and thermal behaviour. Of the studied units, the Avaspec demonstrated the best prospects for the highest time resolution applications, but in the majority of cases, we anticipate users likely preferring the less bulky USB2000+s

Collagen fingerprinting traces the introduction of caprines to island Eastern Africa

The human colonization of eastern Africa's near- and offshore islands was accompanied by the translocation of several domestic, wild and commensal fauna, many of which had long-term impacts on local environments. To better understand the timing and nature of the introduction of domesticated caprines (sheep and goat) to these islands, this study applied collagen peptide fingerprinting (Zooarchaeology by Mass Spectrometry or ZooMS) to archaeological remains from eight Iron Age sites, dating between ca 300 and 1000 CE, in the Zanzibar, Mafia and Comoros archipelagos. Where previous zooarchaeological analyses had identified caprine remains at four of these sites, this study identified goat at seven sites and sheep at three, demonstrating that caprines were more widespread than previously known. The ZooMS results support an introduction of goats to island eastern Africa from at least the seventh century CE, while sheep in our sample arrived one–two centuries later. Goats may have been preferred because, as browsers, they were better adapted to the islands' environments. The results allow for a more accurate understanding of early caprine husbandry in the study region and provide a critical archaeological baseline for examining the potential long-term impacts of translocated fauna on island ecologies.1. Introduction 2. Background 2.1. Island colonization and species translocations 2.2. Tracing the introduction of caprines to insular Eastern Africa 3. Methods 3.1. Sites 3.2. Sample selection 3.3. ZooMS protocol 3.3.1. Acid-insoluble protocol 3.3.2. Acid-soluble protocol 3.3.3. Lyophilized collagen for stable isotope analysis 3.3.4. C18 clean-up and MALDI-ToF analysis 4. Results 5. Discussion 5.1. Diachronic patterns in the introduction of caprines 5.2. Island herd compositions 5.3. Wild faunal extirpations and translocations 5.4. Long-term ecological impacts of caprines on Eastern Africa’s islands 6. Conclusio

The effects of supernovae on the dynamical evolution of binary stars and star clusters

In this chapter I review the effects of supernovae explosions on the dynamical evolution of (1) binary stars and (2) star clusters. (1) Supernovae in binaries can drastically alter the orbit of the system, sometimes disrupting it entirely, and are thought to be partially responsible for `runaway' massive stars - stars in the Galaxy with large peculiar velocities. The ejection of the lower-mass secondary component of a binary occurs often in the event of the more massive primary star exploding as a supernova. The orbital properties of binaries that contain massive stars mean that the observed velocities of runaway stars (10s - 100s km s$^{-1}$) are consistent with this scenario. (2) Star formation is an inherently inefficient process, and much of the potential in young star clusters remains in the form of gas. Supernovae can in principle expel this gas, which would drastically alter the dynamics of the cluster by unbinding the stars from the potential. However, recent numerical simulations, and observational evidence that gas-free clusters are observed to be bound, suggest that the effects of supernova explosions on the dynamics of star clusters are likely to be minimal.Comment: 16 pages, to appear in the 'Handbook of Supernovae', eds. Paul Murdin and Athem Alsabti. This version replaces an earlier version that contained several typo

Host-microbiome interactionsin human type 2 diabetes following prebiotic fibre (galactooligosaccharide) intake

Aberrant microbiota composition and function have been linked to several pathologies, including type 2 diabetes. In animal models, prebiotics induce favourable changes in the intestinal microbiota, intestinal permeability (IP) and endotoxaemia, which are linked to concurrent improvement in glucose tolerance. This is the first study to investigate the link between IP, glucose tolerance and intestinal bacteria in human type 2 diabetes. In all, twenty-nine men with well-controlled type 2 diabetes were randomised to a prebiotic (galacto-oligosaccharide mixture) or placebo (maltodextrin) supplement (5·5 g/d for 12 weeks). Intestinal microbial community structure, IP, endotoxaemia, inflammatory markers and glucose tolerance were assessed at baseline and post intervention. IP was estimated by the urinary recovery of oral 51Cr-EDTA and glucose tolerance by insulin-modified intravenous glucose tolerance test. Intestinal microbial community analysis was performed by high-throughput next-generation sequencing of 16S rRNA amplicons and quantitative PCR. Prebiotic fibre supplementation had no significant effects on clinical outcomes or bacterial abundances compared with placebo; however, changes in the bacterial family Veillonellaceae correlated inversely with changes in glucose response and IL-6 levels (r −0·90, P=0·042 for both) following prebiotic intake. The absence of significant changes to the microbial community structure at a prebiotic dosage/length of supplementation shown to be effective in healthy individuals is an important finding. We propose that concurrent metformin treatment and the high heterogeneity of human type 2 diabetes may have played a significant role. The current study does not provide evidence for the role of prebiotics in the treatment of type 2 diabetes