593 research outputs found

    Prognostic factors following ischaemic stroke

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    The work presented for examination in this thesis concerns the investigation and management of patients with stroke. The underlying theme which unites the chapters is that of outcome following stroke, and how it may be influenced or predicted. Chapter one is a broad overview of stroke disease, incorporating a brief summary of the socio-economic burden of stroke in the Western world. Chapter two reports a randomised, double blind placebo-controlled study designed to investigate the effect of the angiotensin converting enzyme inhibitor perindopril upon cerebral and renal perfusion in hypertensive stroke patients with carotid artery disease. Chapter three reports a study to investigate the feasibility of rigorous control of blood glucose in hyperglycaemic patients following stroke. The prognostic significance of triglyceride concentration following ischaemic stroke is investigated in chapter four. In chapter five the prognostic significance of visible infarction on computed tomography in patients with lacunar stroke is examined. In chapter six the development and implementation of a novel diffusion- weighted magnetic resonance sequence is reported. In chapter seven, preliminary experience with the use of recombinant tissue plasminogen activator in a UK stroke centre is reported. Chapter eight contains a synopsis of the work presented, together with a brief discussion of the results in the context of our current understanding of stroke disease Future directions of study arising from the research are identified and discussed. (Abstract shortened by ProQuest.)

    Physical Activity in the Prevention and Treatment of Stroke

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    The role of physical activity in the prevention of stroke is of great interest due to the high mortality and significant impact of stroke-related morbidity on the individual and on healthcare resources. The use of physical activity as a therapeutic strategy to maximise functional recovery in the rehabilitation of stroke survivors has a growing evidence base. This narrative review examines the existing literature surrounding the use of exercise and physical therapy in the primary and secondary prevention of stroke. It explores the effect of gender, exercise intensities and the duration of observed benefit. It details the most recent evidence for physical activity in improving functional outcome in stroke patients. The review summaries the current guidelines and recommendations for exercise therapy and highlights areas in which further research and investigation would be useful to determine optimal exercise prescription for effective prevention and rehabilitation in stroke

    APPARENT SURVIVAL OF BREEDING WESTERN SANDPIPERS ON THE YUKON-KUSKOKWIM RIVER DELTA, ALASKA

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    We used 8 years of live recapture data (1998–2005) to estimate apparent annual survival for male (n = 237) and female (n = 296) Western Sandpipers (Calidris mauri) breeding on a 36-ha plot on the Yukon-Kuskokwim River Delta, western Alaska. Apparent annual survival (Φ) is the product of true survival and site fidelity, and estimates of Φ were corrected for the probability of encounter. Overall return rates (individual returned to the study site in a subsequent season) were lower for females (40%) than males (65%), as was Φ (± SE, females = 0.65 ± 0.05, males = 0.78 ± 0.03), and encounter rate (females = 0.51 ± 0.07, males = 0.74 ± 0.04). Results differed from previous estimates of Φ for this species as our estimates of Φ were higher for both males and females compared to estimates from another breeding site and two nonbreeding locations. Disparity among Φ estimates from breeding and nonbreeding areas highlights the need to delineate site-specific factors throughout the annual cycle that influence population dynamics of the Western Sandpiper

    APPARENT SURVIVAL OF BREEDING WESTERN SANDPIPERS ON THE YUKON-KUSKOKWIM RIVER DELTA, ALASKA

    Get PDF
    We used 8 years of live recapture data (1998–2005) to estimate apparent annual survival for male (n = 237) and female (n = 296) Western Sandpipers (Calidris mauri) breeding on a 36-ha plot on the Yukon-Kuskokwim River Delta, western Alaska. Apparent annual survival (Φ) is the product of true survival and site fidelity, and estimates of Φ were corrected for the probability of encounter. Overall return rates (individual returned to the study site in a subsequent season) were lower for females (40%) than males (65%), as was Φ (± SE, females = 0.65 ± 0.05, males = 0.78 ± 0.03), and encounter rate (females = 0.51 ± 0.07, males = 0.74 ± 0.04). Results differed from previous estimates of Φ for this species as our estimates of Φ were higher for both males and females compared to estimates from another breeding site and two nonbreeding locations. Disparity among Φ estimates from breeding and nonbreeding areas highlights the need to delineate site-specific factors throughout the annual cycle that influence population dynamics of the Western Sandpiper

    Why People Are Not Willing to Let Their Children Ride in Driverless School Buses: A Gender and Nationality Comparison

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    As driverless vehicles proliferate, it is possible that this technology will be applied in mass transport vehicles. School buses may be suited for autonomous operations as they follow set routes and schedules. However, a research gap exists in whether or not parents would be willing to have their children ride in autonomously operated school buses. The purpose of this study was to examine parents’ willingness to allow their child to ride in an autonomous school bus. Participant gender and nationality were also two independent variables, along with affect measures as a possible mediating variable. The research used a two-study approach. In study one, it was found that participants were less willing to have their child ride in a driverless school bus than a traditional human-operated vehicle. In study two, findings suggest a significant interaction between the type of driver, participant gender, and nationality. In general, American females were less willing than Indian females and overall, Americans were less willing than Indians in the driverless conditions. Affect was found to be a mediating variable, which suggests that emotions were playing a role in the responses of participants. The paper concludes with theoretical contributions, practical applications, and suggestions for future research

    The Zwicky Transient Facility: Surveys and Scheduler

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    We present a novel algorithm for scheduling the observations of time-domain imaging surveys. Our Integer Linear Programming approach optimizes an observing plan for an entire night by assigning targets to temporal blocks, enabling strict control of the number of exposures obtained per field and minimizing filter changes. A subsequent optimization step minimizes slew times between each observation. Our optimization metric self-consistently weights contributions from time-varying airmass, seeing, and sky brightness to maximize the transient discovery rate. We describe the implementation of this algorithm on the surveys of the Zwicky Transient Facility and present its on-sky performance.Comment: Published in PASP Focus Issue on the Zwicky Transient Facility (https://dx.doi.org/10.1088/1538-3873/ab0c2a). 13 Pages, 11 Figure

    House price Keynesianism and the contradictions of the modern investor subject

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    This article conceptualises the marked downturn in UK house prices in the 2007-2009 period in relation to longer-term processes of national economic restructuring centred on a new model of homeownership. The structure of UK house prices has been impacted markedly by the Labour Government‟s efforts to ingrain a particular notion of financial literacy amid the move towards an increasingly asset-based system of welfare. New model welfare recipients and new model homeowners have thereby been co-constituted in a manner consistent with a new UK growth regime of „house price Keynesianism‟. However, the investor subjects who drive such growth are necessarily rendered uncertain as compared with the idealised image of Government policy because of their reliance on the credit-creating decisions of private financial institutions. The recent steep decline in UK house prices is explained here as an epiphenomenon of the disruptive effect on the idealised image caused by the dependence of investor subjects on pricing dynamics not of their making

    \u3cem\u3eShewanella oneidensis\u3c/em\u3e Cytochrome c Nitrite Reductase (ccNiR) Does Not Disproportionate Hydroxylamine to Ammonia and Nitrite, Despite a Strongly Favorable Driving Force

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    Cytochrome c nitrite reductase (ccNiR) from Shewanella oneidensis, which catalyzes the six-electron reduction of nitrite to ammonia in vivo, was shown to oxidize hydroxylamine in the presence of large quantities of this substrate, yielding nitrite as the sole free nitrogenous product. UV–visible stopped-flow and rapid-freeze-quench electron paramagnetic resonance data, along with product analysis, showed that the equilibrium between hydroxylamine and nitrite is fairly rapidly established in the presence of high initial concentrations of hydroxylamine, despite said equilibrium lying far to the left. By contrast, reduction of hydroxylamine to ammonia did not occur, even though disproportionation of hydroxylamine to yield both nitrite and ammonia is strongly thermodynamically favored. This suggests a kinetic barrier to the ccNiR-catalyzed reduction of hydroxylamine to ammonia. A mechanism for hydroxylamine reduction is proposed in which the hydroxide group is first protonated and released as water, leaving what is formally an NH2+ moiety bound at the heme active site. This species could be a metastable intermediate or a transition state but in either case would exist only if it were stabilized by the donation of electrons from the ccNiR heme pool into the empty nitrogen p orbital. In this scenario, ccNiR does not catalyze disproportionation because the electron-donating hydroxylamine does not poise the enzyme at a sufficiently low potential to stabilize the putative dehydrated hydroxylamine; presumably, a stronger reductant is required for this

    Solar-electric-propulsion cargo vehicles for split/sprint Mars mission

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    In support of the proposed exploration of Mars, an unmanned cargo ferry SEMM1 (Solar Electric Mars Mission) was designed. The vehicle is based on solar electric propulsion, and required to transport a cargo of 61,000 kg. The trajectory is a combination of spirals; first, out from LEO, then around the sun, then spiral down to low Mars orbit. The spacecraft produces 3.03 MWe power using photovoltaic flexible blanket arrays. Ion thrusters using argon as a propellant were selected to drive the ship, providing about 60 Newtons of thrust in low Earth orbit. The configuration is based on two long truss beams to which the 24 individual, self-deployable, solar arrays are attached. The main body module supports the two beams and houses the computers, electrical, and control equipment. The thruster module is attached to the rear of the main body, and the cargo to the front
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