6,766 research outputs found

    PCV44 ROLE OF COMMUNITY PHARMACISTS IN HEALTH-RELATED EDUCATION AND COUNSELLING:VIEWS FROM GENERAL PUBLIC IN THE STATE OF PENANG, MALAYSIA

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    δ\delta meson effects on neutron stars in the modified quark-meson coupling model

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    The properties of neutron stars are investigated by including δ\delta meson field in the Lagrangian density of modified quark-meson coupling model. The Σ−\Sigma^- population with δ\delta meson is larger than that without δ\delta meson at the beginning, but it becomes smaller than that without δ\delta meson as the appearance of Ξ−\Xi^-. The δ\delta meson has opposite effects on hadronic matter with or without hyperons: it softens the EOSes of hadronic matter with hyperons, while it stiffens the EOSes of pure nucleonic matter. Furthermore, the leptons and the hyperons have the similar influence on δ\delta meson effects. The δ\delta meson increases the maximum masses of neutron stars. The influence of (σ∗,ϕ)(\sigma^*,\phi) on the δ\delta meson effects are also investigated.Comment: 10 pages, 6 figures, 4 table

    The Postoperative Morbidity Survey was validated and used to describe morbidity after major surgery.

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    OBJECTIVES: To describe the reliability and validity of the Postoperative Morbidity Survey (POMS). To describe the level and pattern of short-term postoperative morbidity after major elective surgery using the POMS. STUDY DESIGN AND SETTING: This was a prospective cohort study of 439 adults undergoing major elective surgery in a UK teaching hospital. The POMS, an 18-item survey that address nine domains of postoperative morbidity, was recorded on postoperative days 3, 5, 8, and 15. RESULTS: Inter-rater reliability was perfect for 11/18 items (Kappa=1.0), with Kappa=0.94 for 6/18 items. A priori hypotheses that the POMS would discriminate between patients with known measures of morbidity risk, and predict length of stay were generally supported through observation of data trends, and there was statistically significant evidence of construct validity for all but the wound and neurological domains. POMS-defined morbidity was present in 325 of 433 patients (75.1%) remaining in hospital on postoperative day 3 after surgery, 231 of 407 patients (56.8%) on day 5, 138 of 299 patients (46.2%) on day 8, and 70 of 111 patients (63.1%) on day 15. Gastrointestinal (47.4%), infectious (46.5%), pain-related (40.3%), pulmonary (39.4%), and renal problems (33.3%) were the most common forms of morbidity. CONCLUSION: The POMS is a reliable and valid survey of short-term postoperative morbidity in major elective surgery. Many patients remain in hospital without any morbidity as recorded by the POMS

    Moment instabilities in multidimensional systems with noise

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    We present a systematic study of moment evolution in multidimensional stochastic difference systems, focusing on characterizing systems whose low-order moments diverge in the neighborhood of a stable fixed point. We consider systems with a simple, dominant eigenvalue and stationary, white noise. When the noise is small, we obtain general expressions for the approximate asymptotic distribution and moment Lyapunov exponents. In the case of larger noise, the second moment is calculated using a different approach, which gives an exact result for some types of noise. We analyze the dependence of the moments on the system's dimension, relevant system properties, the form of the noise, and the magnitude of the noise. We determine a critical value for noise strength, as a function of the unperturbed system's convergence rate, above which the second moment diverges and large fluctuations are likely. Analytical results are validated by numerical simulations. We show that our results cannot be extended to the continuous time limit except in certain special cases.Comment: 21 pages, 15 figure

    The Influence of Secondhand Smoke Exposure on Birth Outcomes in Jordan

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    This study investigates how secondhand smoke (SHS) exposure influences neonatal birth weight in Jordan, a country with high smoking prevalence. The findings revealed that as the average number of SHS exposure hours per week increased in the second trimester, the neonatal birth weight decreased while holding all covariates constant. Women who reported a higher average number of SHS exposure hours per week from work in the second trimester, home in the third trimester, and outside in the third trimester were at greater risk for having a low birth weight neonate than women who reported a lower average number of SHS exposure hours

    Distinct Mechanisms Underlying Tolerance to Intermittent and Constant Hypoxia in Drosophila melanogaster

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    BACKGROUND: Constant hypoxia (CH) and intermittent hypoxia (IH) occur during several pathological conditions such as asthma and obstructive sleep apnea. Our research is focused on understanding the molecular mechanisms that lead to injury or adaptation to hypoxic stress using Drosophila as a model system. Our current genome-wide study is designed to investigate gene expression changes and identify protective mechanism(s) in D. melanogaster after exposure to severe (1% O(2)) intermittent or constant hypoxia. METHODOLOGY/PRINCIPAL FINDINGS: Our microarray analysis has identified multiple gene families that are up- or down-regulated in response to acute CH or IH. We observed distinct responses to IH and CH in gene expression that varied in the number of genes and type of gene families. We then studied the role of candidate genes (up-or down-regulated) in hypoxia tolerance (adult survival) for longer periods (CH-7 days, IH-10 days) under severe CH or IH. Heat shock proteins up-regulation (specifically Hsp23 and Hsp70) led to a significant increase in adult survival (as compared to controls) of P-element lines during CH. In contrast, during IH treatment the up-regulation of Mdr49 and l(2)08717 genes (P-element lines) provided survival advantage over controls. This suggests that the increased transcript levels following treatment with either paradigm play an important role in tolerance to severe hypoxia. Furthermore, by over-expressing Hsp70 in specific tissues, we found that up-regulation of Hsp70 in heart and brain play critical role in tolerance to CH in flies. CONCLUSIONS/SIGNIFICANCE: We observed that the gene expression response to IH or CH is specific and paradigm-dependent. We have identified several genes Hsp23, Hsp70, CG1600, l(2)08717 and Mdr49 that play an important role in hypoxia tolerance whether it is in CH or IH. These data provide further clues about the mechanisms by which IH or CH lead to cell injury and morbidity or adaptation and survival

    Assessing Different Inoculum Treatments for Improved Production of Hydrogen through Dark Fermentation

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    Hydrogen gas (H2) is an energy carrier that does not generate carbon dioxide emissions during combustion, but several processes in use for its production demand high energy inputs associated with fossil fuels and greenhouse emissions. Biological processes, such as dark fermentation (DF), have the potential to remove the dependency on fossil fuels in H2 production. DF is a process that encourages fermentative bacteria to ferment organic substrates to produce H2 as a truly clean energy carrier, but its success depends on removing the presence of competing H2−consuming microorganisms in the inoculum consortia. This paper addresses a strategy to enhance H2 production from different types of substrates by testing inoculum pre-treatment processes to inactivate H2−consuming bacteria, including acid-shock (pH 3), basic-shock (pH 10) and heat-shock (115 °C) methods. Digestate from anaerobic digesters processing sewage sludge was used to produce pre-treated inocula, which were subsequently tested in a batch bio-H2 potential (BHP) test using glucose as a substrate. The results show that heat-shock pre-treatment was the best method, reporting a H2 yield of 191.8 mL-H2/gVS added (the untreated inoculum reported 170.91 mL-H2/gVS added). Glucose conversion data show a high concentration of butyric acid in both treated and untreated inocula during BHP tests, which indicate that the butyrate pathway for H2 production was dominant; shifting this to the formate route could further enhance net H2 production. A standardised inoculum-conditioning method can help to consistently assess the biohydrogen potential of suitable feedstock for DF and maximise H2 yields
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