1,034 research outputs found
The development of a sub-atmospheric two-phase thermosyphon natural gas preheater using a lumped capacitance model and comparison with experimental results
The pre-heating of natural gas supplied to both domestic and industrial use is required to counteract the Joule–Thomson effect due to pressure reduction. Most existing pre-heaters are in the form of water bath heaters, where both the burner and exchanger are immersed in a closed water tank. These systems usually have a low efficiency, and as a result of thermal inertia have a long time lag to accommodate changes in Natural Gas (NG) mass flow rates.
In this paper, the two-phase thermosyphon theory is implemented in a sub-atmospheric context to design and study a new preheating system in a transient fashion. This system is partially vacuumed (absolute pressure of 2 kPa) to lower the temperature operation range to reduce the required working fluid volume, hence reduce the required energy and improve the response time. The transient numerical model is based on a lumped capacitance method, and the full system is solved by using a fourth order Runge–Kutta method. The numerical model is validated through comparison with experimental results. Minimum efficiency of 68% has been achieved in some tests, whilst maximum efficiency of 80% in other tests.
Simulations of the thermosyphon preheater system have been performed to analyse the effect of changing the working fluid volume and composition
Resource use data by patient report or hospital records: Do they agree?
Background: Economic evaluations alongside clinical trials are becoming increasingly common.
Cost data are often collected through the use of postal questionnaires; however, the accuracy of
this method is uncertain. We compared postal questionnaires with hospital records for collecting
data on physiotherapy service use.
Methods: As part of a randomised trial of orthopaedic medicine compared with orthopaedic
surgery we collected physiotherapy use data on a group of patients from retrospective postal
questionnaires and from hospital records.
Results: 315 patients were referred for physiotherapy. Hospital data on attendances was available
for 30% (n = 96), compared with 48% (n = 150) of patients completing questionnaire data (95% Cl
for difference = 10% to 24%); 19% (n = 59) had data available from both sources. The two methods
produced an intraclass correlation coefficient of 0.54 (95% Cl 0.31 to 0.70). However, the two
methods produced significantly different estimates of resource use with patient self report recalling
a mean of 1.3 extra visits (95% Cl 0.4 to 2.2) compared with hospital records.
Conclusions: Using questionnaires in this study produced data on a greater number of patients
compared with examination of hospital records. However, the two data sources did differ in the
quantity of physiotherapy used and this should be taken into account in any analysi
The role of single nucleotide polymorphisms in breast cancer metastasis
Our understanding of many aspects of cancer biology has been advanced through the use of modern genetics. These studies have already shown that germ line polymorphisms play a significant role in disease initiation and response to therapy. However, what is less well studied is the role of germ line polymorphisms in cancer progression. Studies in rodents indicate that differential susceptibility to cancer metastasis can be heritable; thus, the search for the genes that control cancer metastasis is underway. Although some provocative studies suggest potential candidates for metastasis regulating genes, the conclusive identification of a specific inherited genetic variant that alters metastatic potential awaits further studies
Changes in and predictors of length of stay in hospital after surgery for breast cancer between 1997/98 and 2004/05 in two regions of England: a population-based
BACKGROUND
Decreases in length of stay (LOS) in hospital after breast cancer surgery can be partly attributed to the change to less radical surgery, but many other factors are operating at the patient, surgeon and hospital levels. This study aimed to describe the changes in and predictors of length of stay (LOS) in hospital after surgery for breast cancer between 1997/98 and 2004/05 in two regions of England.
METHODS
Cases of female invasive breast cancer diagnosed in two English cancer registry regions were linked to Hospital Episode Statistics data for the period 1st April 1997 to 31st March 2005. A subset of records where women underwent mastectomy or breast conserving surgery (BCS) was extracted (n = 44,877). Variations in LOS over the study period were investigated. A multilevel model with patients clustered within surgical teams and NHS Trusts was used to examine associations between LOS and a range of factors.
RESULTS
Over the study period the proportion of women having a mastectomy reduced from 58% to 52%. The proportion varied from 14% to 80% according to NHS Trust. LOS decreased by 21% from 1997/98 to 2004/05 (LOSratio = 0.79, 95%CI 0.77-0.80). BCS was associated with 33% shorter hospital stays compared to mastectomy (LOSratio = 0.67, 95%CI 0.66-0.68). Older age, advanced disease, presence of comorbidities, lymph node excision and reconstructive surgery were associated with increased LOS. Significant variation remained amongst Trusts and surgical teams.
CONCLUSION
The number of days spent in hospital after breast cancer surgery has continued to decline for several decades. The change from mastectomy to BCS accounts for only 9% of the overall decrease in LOS. Other explanations include the adoption of new techniques and practices, such as sentinel lymph node biopsy and early discharge. This study has identified wide variation in practice with substantial cost implications for the NHS. Further work is required to explain this variation
Two-dimensional Dirac fermions in a topological insulator: transport in the quantum limit
Pulsed magnetic fields of up to 55T are used to investigate the transport
properties of the topological insulator Bi_2Se_3 in the extreme quantum limit.
For samples with a bulk carrier density of n = 2.9\times10^16cm^-3, the lowest
Landau level of the bulk 3D Fermi surface is reached by a field of 4T. For
fields well beyond this limit, Shubnikov-de Haas oscillations arising from
quantization of the 2D surface state are observed, with the \nu =1 Landau level
attained by a field of 35T. These measurements reveal the presence of
additional oscillations which occur at fields corresponding to simple rational
fractions of the integer Landau indices.Comment: 5 pages, 4 figure
Calcitization of aragonitic bryozoans in Cenozoic tropical carbonates from East Kalimantan, Indonesia
© The Author(s) 2016. Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The file attached is the published version of the article
Sexual selection protects against extinction
Reproduction through sex carries substantial costs, mainly because only half of sexual adults produce offspring. It has been theorised that these costs could be countered if sex allows sexual selection to clear the universal fitness constraint of mutation load. Under sexual selection, competition between (usually) males, and mate choice by (usually) females create important intraspecific filters for reproductive success, so that only a subset of males gains paternity. If reproductive success under sexual selection is dependent on individual condition, which depends on mutation load, then sexually selected filtering through ‘genic capture’ could offset the costs of sex because it provides genetic benefits to populations. Here, we test this theory experimentally by comparing whether populations with histories of strong versus weak sexual selection purge mutation load and resist extinction differently. After evolving replicate populations of the flour beetle Tribolium castaneum for ~7 years under conditions that differed solely in the strengths of sexual selection, we revealed mutation load using inbreeding. Lineages from populations that had previously experienced strong sexual selection were resilient to extinction and maintained fitness under inbreeding, with some families continuing to survive after 20 generations of sib × sib mating. By contrast, lineages derived from populations that experienced weak or non-existent sexual selection showed rapid fitness declines under inbreeding, and all were extinct after generation 10. Multiple mutations across the genome with individually small effects can be difficult to clear, yet sum to a significant fitness load; our findings reveal that sexual selection reduces this load, improving population viability in the face of genetic stress
Australian Sphingidae – DNA Barcodes Challenge Current Species Boundaries and Distributions
© 2014 Rougerie et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. The attached file is the published version of the article
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Genetic analysis of a major international collection of cultivated apple varieties reveals previously unknown historic heteroploid and inbred relationships
Domesticated apple (Malus x domestica Borkh.) is a major global crop and the genetic diversity held within the pool of cultivated varieties is important for the development of future cultivars. The aim of this study was to investigate the diversity held within the domesticated form, through the analysis of a major international germplasm collection of cultivated varieties, the UK National Fruit Collection, consisting of over 2,000 selections of named cultivars and seedling varieties. We utilised Diversity Array Technology (DArT) markers to assess the genetic diversity within the collection. Clustering attempts, using the software STRUCTURE revealed that the accessions formed a complex and historically admixed group for which clear clustering was challenging. Comparison of accessions using the Jaccard similarity coefficient allowed us to identify clonal and duplicate material as well as revealing pairs and groups that appeared more closely related than a standard parent-offspring or full-sibling relations. From further investigation, we were able to propose a number of new pedigrees, which revealed that some historically important cultivars were more closely related than previously documented and that some of them were partially inbred. We were also able to elucidate a number of parent-offspring relationships that had resulted in a number of important polyploid cultivars. This included reuniting polyploid cultivars that in some cases dated as far back as the 18th century, with diploid parents that potentially date back as far as the 13th century
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