5,778 research outputs found

    Hyperparathyroidism with Normal Albumin-Corrected Total Calcium in Patients with Multiple Endocrine Neoplasia Type 1

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    In the largest reported family of patients with multiple endocrine neoplasia type 1 (MEN 1), hyperparathyroidism was expressed at first screening in 33 patients by elevation of ionized calcium (IC) (30 cases) or parathyroid hormone (three cases) without elevation of albumin-corrected total calcium (ACTC). Three of these 33 patients have shown a progressive rise in IC and later an elevation of ACTC. However, the age distribution suggests that in others the level of IC may remain stable at a minimally elevated level throughout life with ACTC remaining normal except for transient rises at the times of intercurrent illness or surgical operation. Even when ACTC is normal preoperatively, patients with an elevation of IC require radical subtotal parathyroidectomy or total parathyroidectomy and forearm implantation to restore IC to a normal level. Institutions that rely on ACTC as a screening test for hyperparathyroidism in MEN 1 will miss the diagnosis in nearly half of patients under the age of 30. The greatest deficiency in using ACTC occurs in the follow-up of patients who have undergone parathyroidectomy for MEN 1. Only three of 11 recurrences were evidenced by this measurement

    Synthesis, characterization and modelling of zinc and silicate co-substituted hydroxyapatite.

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    Experimental chemistry and atomic modelling studies were performed here to investigate a novel ionic co-substitution in hydroxyapatite (HA). Zinc, silicate co-substituted HA (ZnSiHA) remained phase pure after heating to 1100 °C with Zn and Si amounts of 0.6 wt% and 1.2 wt%, respectively. Unique lattice expansions in ZnSiHA, silicate Fourier transform infrared peaks and changes to the hydroxyl IR stretching region suggested Zn and silicate co-substitution in ZnSiHA. Zn and silicate insertion into HA was modelled using density functional theory (DFT). Different scenarios were considered where Zn substituted for different calcium sites or at a 2b site along the c-axis, which was suspected in singly substituted ZnHA. The most energetically favourable site in ZnSiHA was Zn positioned at a previously unreported interstitial site just off the c-axis near a silicate tetrahedron sitting on a phosphate site. A combination of experimental chemistry and DFT modelling provided insight into these complex co-substituted calcium phosphates that could find biomedical application as a synthetic bone mineral substitute.This work was supported by a NSFGRFP grant (DGE-1042796) (RJF) and a Cambridge International Scholarship (RJF). The modelling work was performed using the Darwin Supercomputer of the University of Cambridge High Performance Computing Service (http://www.hpc.cam.ac.uk/), provided by Dell Inc. using Strategic Research Infrastructure Funding from the Higher Education Funding Council for England and funding from the Science and Technology Facilities Council. HC would like to thank the UK Medical Research Council (Grant number U105960399) for their support.This is the final version of the article. It first appeared from Royal Society Publishing via http://dx.doi.org/10.1098/rsif.2015.019

    Characterizing industry-academia collaborations in software engineering: evidence from 101 projects

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    Research collaboration between industry and academia supports improvement and innovation in industry and helps ensure the industrial relevance of academic research. However, many researchers and practitioners in the community believe that the level of joint industry-academia collaboration (IAC) projects in Software Engineering (SE) research is relatively low, creating a barrier between research and practice. The goal of the empirical study reported in this paper is to explore and characterize the state of IAC with respect to industrial needs, developed solutions, impacts of the projects and also a set of challenges, patterns and anti-patterns identified by a recent Systematic Literature Review (SLR) study. To address the above goal, we conducted an opinion survey among researchers and practitioners with respect to their experience in IAC. Our dataset includes 101 data points from IAC projects conducted in 21 different countries. Our findings include: (1) the most popular topics of the IAC projects, in the dataset, are: software testing, quality, process, and project managements; (2) over 90% of IAC projects result in at least one publication; (3) almost 50% of IACs are initiated by industry, busting the myth that industry tends to avoid IACs; and (4) 61% of the IAC projects report having a positive impact on their industrial context, while 31% report no noticeable impacts or were “not sure”. To improve this situation, we present evidence-based recommendations to increase the success of IAC projects, such as the importance of testing pilot solutions before using them in industry. This study aims to contribute to the body of evidence in the area of IAC, and benefit researchers and practitioners. Using the data and evidence presented in this paper, they can conduct more successful IAC projects in SE by being aware of the challenges and how to overcome them, by applying best practices (patterns), and by preventing anti-patterns.The authors would like to thank the researchers and practitioners who participated in this survey. João M. Fernandes was supported by FCT (Fundação para a Ciência e Tecnologia) within the Project Scope UID/CEC/00319/2013. Dietmar Pfahl was supported by the institutional research grant IUT20-55 of the Estonian Research Council. Andrea Arcuri was supported by the Research Council of Norway (grant agreement No 274385). Mika Mäntylä was partially supported by Academy of Finland grant and ITEA3 / TEKES grant

    Convicts and coolies : rethinking indentured labour in the nineteenth century

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    This article seeks to shift the frame of analysis within which discussions of Indian indentured migration take place. It argues that colonial discourses and practices of indenture are best understood not with regard to the common historiographical framework of whether it was 'a new system of slavery', but in the context of colonial innovations in incarceration and confinement. The article shows how Indian experiences of and knowledge about transportation overseas to penal settlements informed in important ways both their own understandings and representations of migration and the colonial practices associated with the recruitment of indentured labour. In detailing the connections between two supposedly different labour regimes, it thus brings a further layer of complexity to debates around their supposed distinctions

    The end of the world, or just 'goodbye to all that'? Contextualising the red deer heap from Links of Noltland, Westray, within late 3rd-millennium cal BC Orkney

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    As part of a major international research project, The Times of Their Lives, a programme of radiocarbon dating and Bayesian modelling was undertaken to refine the chronology of activities in one small but important part of the extensive Late Neolithic and Bronze Age settlement on Links of Noltland on the island of Westray, Orkney. The selected area (Trench D) is well known for having produced, next to a wall, the remains of a heap of at least 15 red deer carcasses, on top of which had been placed a large cod, a gannet’s wing along with part of a greater black-backed gull, and a pair of large antlers. This remarkable deposit had been preceded by, and was followed by, periods of cultivation and the deposition of domestic refuse. Refined date estimates have been produced, based on 18 radiocarbon determinations obtained from 16 samples from Trench D (including nine newly obtained dates, three from individual deer in the heap). These clarify when, during this long sequence of activities, the deer were heaped up: probably in the 22nd century cal bc, around the same time as Beaker pottery was deposited elsewhere on the Links. This allows comparison between the dated activities in this part of the site with activity elsewhere on the Links and also with other episodes of deer deposition in 3rd-millennium cal bc Orkney. It encourages exploration of the possible reasons for what appears to be a remarkable act of structured deposition. The significance of an earlier, much larger scale deposit featuring cattle remains at Ness of Brodgar is discussed in exploring the nature of Orcadian society and practices during the second half of the 3rd millennium cal bc

    Combined visual and biochemical analyses confirm depositor and diet for Neolithic coprolites from Skara Brae

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    Coprolites (fossilized faeces) can provide valuable insights into species’ diet and related habits. In archaeozoological contexts, they are a potential source of information on human-animal interactions as well as human and animal subsistence. However, despite a broad discussion on coprolites in archaeology, such finds are rarely subject to detailed examination by researchers, perhaps due to the destructive nature of traditional analytical methods. Here, we have examined coprolitic remains from the Neolithic (third millennium BCE) settlement at Skara Brae, Orkney, using a range of modern methods: X-ray computed tomography, scanning electron microscopy, lipid and protein analysis (shotgun proteomics of the coprolite matrix as well as collagen peptide mass fingerprinting of isolated bone fragments). This combined approach minimised destructiveness of sampling, leaving sufficient material for subsequent study, while providing more information than traditional morphological examination alone. Based on gross visual examination, coprolites were predominantly attributed to domestic dogs (Canis familiaris), with morphologically identified bone inclusions derived from domestic sheep (Ovis aries) and common voles (Microtus arvalis). Partial dissection of a coprolite provided bone samples containing protein markers akin to those of domestic sheep. Considering the predominance of vertebral and distal limb bone fragments, Skara Brae dogs were probably consuming human butchery or meal refuse, either routinely fed to them or scavenged. The presumably opportunistic consumption of rodents may also have played a role in pest control
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