510 research outputs found
The Impact of Homogeneous Versus Heterogeneous Emphysema on Dynamic Hyperinflation in Patients With Severe COPD Assessed for Lung Volume Reduction
Dynamic hyperinflation (DH) is a pathophysiologic hallmark of Chronic Obstructive Pulmonary Disease (COPD). The aim of this study was to investigate the impact of emphysema distribution on DH during a maximal cardiopulmonary exercise test (CPET) in patients with severe COPD. This was a retrospective analysis of prospectively collected data among severe COPD patients who underwent thoracic high-resolution computed tomography, full lung function measurements and maximal CPET with inspiratory manouvers as assessment for a lung volume reduction procedure. ΔIC was calculated by subtracting the end-exercise inspiratory capacity (eIC) from resting IC (rIC) and expressed as a percentage of rIC (ΔIC %). Emphysema quantification was conducted at 3 predefined levels using the syngo PULMO-CT (Siemens AG); a difference >25% between best and worse slice was defined as heterogeneous emphysema. Fifty patients with heterogeneous (62.7% male; 60.9 ± 7.5 years old; FEV(1)% = 32.4 ± 11.4) and 14 with homogeneous emphysema (61.5% male; 62.5 ± 5.9 years old; FEV(1)% = 28.1 ± 10.3) fulfilled the enrolment criteria. The groups were matched for all baseline variables. ΔIC% was significantly higher in homogeneous emphysema (39.8% ± 9.8% vs.31.2% ± 13%, p = 0.031), while no other CPET parameter differed between the groups. Upper lobe predominance of emphysema correlated positively with peak oxygen pulse, peak oxygen uptake and peak respiratory rate, and negatively with ΔIC%. Homogeneous emphysema is associated with more DH during maximum exercise in COPD patients
The holistic phase model of early adult crisis
The objective of the current study was to explore the structural, temporal and experiential manifestations of crisis episodes in early adulthood, using a holistic-systemic theoretical framework. Based on an analysis of 50 interviews with individuals about a crisis episode between the ages of 25 and 35, a holistic model was developed. The model comprises four phases: (1) Locked-in, (2) Separation/Time-out, (3) Exploration and (4) Rebuilding, which in turn have characteristic features at four levels—person-in-environment, identity, motivation and affect-cognition. A crisis starts out with a commitment at work or home that has been made but is no longer desired, and this is followed by an emotionally volatile period of change as that commitment is terminated. The positive trajectory of crisis involves movement through an exploratory period towards active rebuilding of a new commitment, but ‘fast-forward’ and ‘relapse’ loops can interrupt Phases 3 and 4 and make a positive resolution of the episode less likely. The model shows conceptual links with life stage theories of emerging adulthood and early adulthood, and it extends current understandings of the transitional developmental challenges that young adults encounter
Pinning quantum phase transition for a Luttinger liquid of strongly interacting bosons
One of the most remarkable results of quantum mechanics is the fact that
many-body quantum systems may exhibit phase transitions even at zero
temperature. Quantum fluctuations, deeply rooted in Heisenberg's uncertainty
principle, and not thermal fluctuations, drive the system from one phase to
another. Typically, the relative strength of two competing terms in the
system's Hamiltonian is changed across a finite critical value. A well-known
example is the Mott-Hubbard quantum phase transition from a superfluid to an
insulating phase, which has been observed for weakly interacting bosonic atomic
gases. However, for strongly interacting quantum systems confined to
lower-dimensional geometry a novel type of quantum phase transition may be
induced for which an arbitrarily weak perturbation to the Hamiltonian is
sufficient to drive the transition. Here, for a one-dimensional (1D) quantum
gas of bosonic caesium atoms with tunable interactions, we observe the
commensurate-incommensurate quantum phase transition from a superfluid
Luttinger liquid to a Mott-insulator. For sufficiently strong interactions, the
transition is induced by adding an arbitrarily weak optical lattice
commensurate with the atomic granularity, which leads to immediate pinning of
the atoms. We map out the phase diagram and find that our measurements in the
strongly interacting regime agree well with a quantum field description based
on the exactly solvable sine-Gordon model. We trace the phase boundary all the
way to the weakly interacting regime where we find good agreement with the
predictions of the 1D Bose-Hubbard model. Our results open up the experimental
study of quantum phase transitions, criticality, and transport phenomena beyond
Hubbard-type models in the context of ultracold gases
Limited effect of patient and disease characteristics on compliance with hospital antimicrobial guidelines
Objective: Physicians frequently deviate from guidelines that promote prudent use of antimicrobials. We explored to what extent patient and disease characteristics were associated with compliance with guideline recommendations for three common infections. Methods: In a 1-year prospective observational study, 1,125 antimicrobial prescriptions were analysed for compliance with university hospital guidelines. Results: Compliance varied significantly between and within the groups of infections studied. Compliance was much higher for lower respiratory tract infections (LRTIs; 79%) than for sepsis (53%) and urinary tract infections (UTIs; 40%). Only predisposing illnesses and active malignancies were associated with more compliant prescribing, whereas alcohol/ intravenous drug abuse and serum creatinine levels > 130 mu mol/l were associated with less compliant prescribing. Availability of culture results had no impact on compliance with guidelines for sepsis but was associated with more compliance in UTIs and less in LRTIs. Narrowing initial broad-spectrum antimicrobial therapy to cultured pathogens was seldom practised. Most noncompliant prescribing concerned a too broad spectrum of activity when compared with guideline-recommended therapy. Conclusion: Patient characteristics had only a limited impact on compliant prescribing for a variety of reasons. Physicians seemed to practise defensive prescribing behaviour, favouring treatment success in current patients over loss of effectiveness due to resistance in future patients
Role of chance and history during evolution in Chlamydomonas reinhardtii
The extent to which evolution is repeatable has important implications. If evolution
is highly repeatable, the trajectories and outcomes of evolution in different lineages
will always be the same. On the other hand, if evolution is not repeatable, then
trajectories and outcomes will be diverse. Thus, the repeatability of evolution affects
our understanding of the nature of biodiversity and can inform the extent to which
evolutionary theory can be used to make predictions. The repeatability of evolution
depends on the relative contribution of selection, chance, and history.
To determine what factors affect the importance of chance and history during
evolution, I propagated replicated populations of the unicellular green alga
Chlamydomonas reinhardtii in controlled environments. I measured the change in
fitness after a few hundred generations and determined how much variation had
arisen among replicate populations and among populations with different histories. I
applied a similar approach to study the importance of history in extinctions, and
measured rates of extinction in populations with different histories.
I found that evolution is much less repeatable in small than in large populations
because history is more constraining and selection less efficient in small than in large
populations. There is also a significant effect of sex and recombination on the
repeatability of evolution at the fitness level, but this effect is highly dependent on
the environment of selection. Sex can increase the importance of chance or history in
some environments, but lower their importance in others, thereby leading to
convergence or divergence depending on the environment. Thirdly, I found that the
importance of history during evolution does not appear to come from the
accumulation of past evolutionary selection pressures, but rather comes from only
the most recent selection pressure as it determines genetic correlations for growth
between different environments and the amount of genetic variance. Finally, I found
that extinction risks are extremely high during continuous environmental
deterioration, although a history of sexual reproduction and phenotypic plasticity
play an important role in adaptation.
By focusing not solely on the effect of treatments on mean trait values, but also on
the variance that arises in our evolution experiments, we can gain a better
understanding of the contribution that chance and history make to evolution. The
repeatability of evolution can therefore inform us about the adaptive vs. stochastic
nature of the diversity we see today, and about the specificity or generality of
evolutionary outcomes
Systematic review of communication technologies to promote access and engagement of young people with diabetes into healthcare
Background: Research has investigated whether communication technologies (e.g. mobile telephony, forums,
email) can be used to transfer digital information between healthcare professionals and young people who live
with diabetes. The systematic review evaluates the effectiveness and impact of these technologies on
communication.
Methods: Nine electronic databases were searched. Technologies were described and a narrative synthesis of all
studies was undertaken.
Results: Of 20,925 publications identified, 19 met the inclusion criteria, with 18 technologies assessed. Five
categories of communication technologies were identified: video-and tele-conferencing (n = 2); mobile telephony
(n = 3); telephone support (n = 3); novel electronic communication devices for transferring clinical information (n =
10); and web-based discussion boards (n = 1). Ten studies showed a positive improvement in HbA1c following the
intervention with four studies reporting detrimental increases in HbA1c levels. In fifteen studies communication
technologies increased the frequency of contact between patient and healthcare professional. Findings were
inconsistent of an association between improvements in HbA1c and increased contact. Limited evidence was
available concerning behavioural and care coordination outcomes, although improvement in quality of life, patientcaregiver
interaction, self-care and metabolic transmission were reported for some communication technologies.
Conclusions: The breadth of study design and types of technologies reported make the magnitude of benefit and
their effects on health difficult to determine. While communication technologies may increase the frequency of
contact between patient and health care professional, it remains unclear whether this results in improved
outcomes and is often the basis of the intervention itself. Further research is needed to explore the effectiveness
and cost effectiveness of increasing the use of communication technologies between young people and
healthcare professionals
Flavor in Minimal Conformal Technicolor
We construct a complete, realistic, and natural UV completion of minimal
conformal technicolor that explains the origin of quark and lepton masses and
mixing angles. As in "bosonic technicolor", we embed conformal technicolor in a
supersymmetric theory, with supersymmetry broken at a high scale. The exchange
of heavy scalar doublets generates higher-dimension interactions between
technifermions and quarks and leptons that give rise to quark and lepton masses
at the TeV scale. Obtaining a sufficiently large top quark mass requires strong
dynamics at the supersymmetry breaking scale in both the top and technicolor
sectors. This is natural if the theory above the supersymmetry breaking also
has strong conformal dynamics. We present two models in which the strong top
dynamics is realized in different ways. In both models, constraints from
flavor-changing effects can be easily satisfied. The effective theory below the
supersymmetry breaking scale is minimal conformal technicolor with an
additional light technicolor gaugino. We argue that this light gaugino is a
general consequence of conformal technicolor embedded into a supersymmetric
theory. If the gaugino has mass below the TeV scale it will give rise to an
additional pseudo Nambu-Goldstone boson that is observable at the LHC.Comment: 37 pages; references adde
Photonic multilayer structure of Begonia chloroplasts enhances photosynthetic efficiency
Enhanced light harvesting is an area of interest for optimizing both natural photosynthesis and artificial solar energy capture1,2. Iridescence has been shown to exist widely and in diverse forms in plants and other photosynthetic organisms and symbioses3,4, but there has yet to be any direct link demonstrated between iridescence and photosynthesis. Here we show that epidermal chloroplasts, also known as iridoplasts, in shade-dwelling species of Begonia5, notable for their brilliant blue iridescence, have a photonic crystal structure formed from a periodic arrangement of the light-absorbing thylakoid tissue itself. This structure enhances photosynthesis in two ways: by increasing light capture at the predominantly green wavelengths available in shade conditions, and by directly enhancing quantum yield by 5-10% under low-light conditions. These findings together imply that the iridoplast is a highly modified chloroplast structure adapted to make best use of the extremely low-light conditions in the tropical forest understorey in which it is found5,6. A phylogenetically diverse range of shade-dwelling plant species has been found to produce similarly structured chloroplasts7-9, suggesting that the ability to produce chloroplasts whose membranes are organized as a multilayer with photonic properties may be widespread. In fact, given the well-established diversity and plasticity of chloroplasts10,11, our results imply that photonic effects may be important even in plants that do not show any obvious signs of iridescence to the naked eye but where a highly ordered chloroplast structure may present a clear blue reflectance at the microscale. Chloroplasts are generally thought of as purely photochemical; we suggest that one should also think of them as a photonic structure with a complex interplay between control of light propagation, light capture and photochemistry
The emerging structure of the Extended Evolutionary Synthesis: where does Evo-Devo fit in?
The Extended Evolutionary Synthesis (EES) debate is gaining ground in contemporary evolutionary biology. In parallel, a number of philosophical standpoints have emerged in an attempt to clarify what exactly is represented by the EES. For Massimo Pigliucci, we are in the wake of the newest instantiation of a persisting Kuhnian paradigm; in contrast, Telmo Pievani has contended that the transition to an EES could be best represented as a progressive reformation of a prior Lakatosian scientific research program, with the extension of its Neo-Darwinian core and the addition of a brand-new protective belt of assumptions and auxiliary hypotheses. Here, we argue that those philosophical vantage points are not the only ways to interpret what current proposals to ‘extend’ the Modern Synthesis-derived ‘standard evolutionary theory’ (SET) entail in terms of theoretical change in evolutionary biology. We specifically propose the image of the emergent EES as a vast network of models and interweaved representations that, instantiated in diverse practices, are connected and related in multiple ways. Under that assumption, the EES could be articulated around a paraconsistent network of evolutionary theories (including some elements of the SET), as well as models, practices and representation systems of contemporary evolutionary biology, with edges and nodes that change their position and centrality as a consequence of the co-construction and stabilization of facts and historical discussions revolving around the epistemic goals of this area of the life sciences. We then critically examine the purported structure of the EES—published by Laland and collaborators in 2015—in light of our own network-based proposal. Finally, we consider which epistemic units of Evo-Devo are present or still missing from the EES, in preparation for further analyses of the topic of explanatory integration in this conceptual framework
Latent physiological factors of complex human diseases revealed by independent component analysis of clinarrays
<p>Abstract</p> <p>Background</p> <p>Diagnosis and treatment of patients in the clinical setting is often driven by known symptomatic factors that distinguish one particular condition from another. Treatment based on noticeable symptoms, however, is limited to the types of clinical biomarkers collected, and is prone to overlooking dysfunctions in physiological factors not easily evident to medical practitioners. We used a vector-based representation of patient clinical biomarkers, or clinarrays, to search for latent physiological factors that underlie human diseases directly from clinical laboratory data. Knowledge of these factors could be used to improve assessment of disease severity and help to refine strategies for diagnosis and monitoring disease progression.</p> <p>Results</p> <p>Applying Independent Component Analysis on clinarrays built from patient laboratory measurements revealed both known and novel concomitant physiological factors for asthma, types 1 and 2 diabetes, cystic fibrosis, and Duchenne muscular dystrophy. Serum sodium was found to be the most significant factor for both type 1 and type 2 diabetes, and was also significant in asthma. TSH3, a measure of thyroid function, and blood urea nitrogen, indicative of kidney function, were factors unique to type 1 diabetes respective to type 2 diabetes. Platelet count was significant across all the diseases analyzed.</p> <p>Conclusions</p> <p>The results demonstrate that large-scale analyses of clinical biomarkers using unsupervised methods can offer novel insights into the pathophysiological basis of human disease, and suggest novel clinical utility of established laboratory measurements.</p
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