Introducing NICE guidelines for intravenous fluid therapy into a district general hospital

Peer reviewedPublisher PD

Seasonal dependence of northern high‐latitude upper thermospheric winds: A quiet time climatological study based on ground‐based and space‐based measurements

This paper investigates the large‐scale seasonal dependence of geomagnetically quiet time, northern high‐latitude F region thermospheric winds by combining extensive observations from eight ground‐based (optical remote sensing) and three space‐based (optical remote sensing and in situ) instruments. To provide a comprehensive picture of the wind morphology, data are assimilated into a seasonal empirical vector wind model as a function of season, latitude, and local time in magnetic coordinates. The model accurately represents the behavior of the constituent data sets. There is good general agreement among the various data sets, but there are some major offsets between GOCE and the other data sets, especially on the duskside. The assimilated wind patterns exhibit a strong and large duskside anticyclonic circulation cell, sharp latitudinal gradients in the duskside auroral zone, strong antisunward winds in the polar cap, and a weaker tendency toward a dawnside cyclonic circulation cell. The high‐latitude wind system shows a progressive intensification of wind patterns from winter to equinox to summer. The latitudinal extent of the duskside circulation cell does not depend strongly on season. Zonal winds show a mainly diurnal variation (two extrema) around polar and middle latitudes and semidiurnal variation (four extrema) at auroral latitudes; meridional winds are primarily diurnal at all high latitudes. The strength of zonal winds channeling through the auroral zone on the duskside is strongest in the summer season. The vorticity of the wind pattern increases from winter to summer, whereas divergence is maximum in equinox. In all three seasons, divergence is weaker than vorticity.Key PointsFirst ever investigation of the large‐scale seasonal dependence of northern high‐latitude upper thermospheric winds in magnetic coordinatesResults show progressive intensification of wind circulation from winter to equinox to summerThe vorticity increases from winter to summer. In all the seasons, the strongest divergences occur primarily in and above auroral latitudesPeer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/136373/1/jgra53329.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/136373/2/jgra53329_am.pd

Migraine associated with early onset postpartum depression in women with major depressive disorder

Major depressive disorder (MDD) and migraine are both more common among women than men. Women’s reproductive years are associated with increased susceptibility to recurrence of both conditions, suggesting a potential role of sex hormonesin aetiology. We examined associations between comorbid migraine and clinical features of MDD in women, including relationships with lifetime reproductive events such as childbirth. Lifetime clinical characteristics and reproductive events in a well-characterised sample of 222 UK women with recurrent MDD, with (n = 98) and without (n = 124) migraine were compared. Women had all been recruited as part of a UK-based ongoing programme of research into the genetic and nongenetic determinants of mood disorders. Multivariate analysis showed a specific association between the lifetime presence of migraine and postpartum depression (PPD) within 6 weeks of delivery (OR = 2.555; 95% CI: 1.037–6.295, p = 0.041). This association did not extend to a broader definition of PPD with onset up to 6 months postpartum. All other factors included in the analysis were not significantly associated with the presence of migraine: family history of depression, younger age at depression onset, history of suicide attempt and severe premenstrual syndrome symptoms. The finding that women with MDD and comorbid migraine may be particularly sensitive to hormonal changes early in the postpartum period leads to aetiological hypotheses and suggests this group may be useful for future studies attempting to characterise PPD and MDD phenotypes. The refinement of such phenotypes has implications for individualising risk and treatment and for future biological and genetic studies

Molecular flexibility of citrus pectins by combined sedimentation and viscosity analysis

The flexibility/rigidity of pectins plays an important part in their structure-function relationship and therefore on their commercial applications in the food and biomedical industries. Earlier studies based on sedimentation analysis in the ultracentrifuge have focused on molecular weight distributions and qualitative and semi-quantitative descriptions based on power law and Wales-van Holde treatments of conformation in terms of "extended" conformations [Harding, S. E., Berth, G., Ball, A., Mitchell, J.R., & Garcìa de la Torre, J. (1991). The molecular weight distribution and conformation of citrus pectins in solution studied by hydrodynamics. Carbohydrate Polymers, 168, 1-15; Morris, G. A., Foster, T. J., & Harding, S.E. (2000). The effect of degree of esterification on the hydrodynamic properties of citrus pectin. Food Hydrocolloids, 14, 227-235]. In the present study, four pectins of low degree of esterification 17-27% and one of high degree of esterification (70%) were characterised in aqueous solution (0.1 M NaCl) in terms of intrinsic viscosity [η], sedimentation coefficient (s°20,w) and weight average molar mass (Mw). Solution conformation/flexibility was estimated qualitatively using the conformation zoning method [Pavlov, G.M., Rowe, A.J., & Harding, S.E. (1997). Conformation zoning of large molecules using the analytical ultracentrifuge. Trends in Analytical Chemistry, 16, 401-405] and quantitatively (persistence length Lp) using the traditional Bohdanecky and Yamakawa-Fujii relations combined together by minimisation of a target function. Sedimentation conformation zoning showed an extended coil (Type C) conformation and persistence lengths all within the range Lp=10-13 nm (for a fixed mass per unit length)

Changes in global ocean bottom properties and volume transports in CMIP5 models under climate change scenarios

Changes in bottom temperature, salinity and density in the global ocean by 2100 for CMIP5 climate models are investigated for the climate change scenarios RCP4.5 and RCP8.5. The mean of 24 models shows a decrease in density in all deep basins except the North Atlantic which becomes denser. The individual model responses to climate change forcing are more complex: regarding temperature, the 24 models predict a warming of the bottom layer of the global ocean; in salinity, there is less agreement regarding the sign of the change, especially in the Southern Ocean. The magnitude and equatorward extent of these changes also vary strongly among models. The changes in properties can be linked with changes in the mean transport of key water masses. The Atlantic Meridional Overturning Circulation weakens in most models and is directly linked to changes in bottom density in the North Atlantic. These changes are due to the intrusion of modified Antarctic Bottom Water, made possible by the decrease in North Atlantic Deep Water formation. In the Indian, Pacific and South Atlantic, changes in bottom density are congruent with the weakening in Antarctic Bottom Water transport through these basins. We argue that the greater the 1986-2005 meridional transports, the more changes have propagated equatorwards by 2100. However, strong decreases in density over 100 years of climate change cause a weakening of the transports. The speed at which these property changes reach the deep basins is critical for a correct assessment of the heat storage capacity of the oceans as well as for predictions of future sea level rise

Excited States of Ladder-type Poly-p-phenylene Oligomers

Ground state properties and excited states of ladder-type paraphenylene oligomers are calculated applying semiempirical methods for up to eleven phenylene rings. The results are in qualitative agreement with experimental data. A new scheme to interpret the excited states is developed which reveals the excitonic nature of the excited states. The electron-hole pair of the S1-state has a mean distance of approximately 4 Angstroem.Comment: 24 pages, 21 figure

Auger decay of degenerate and Bose-condensed excitons in Cu2_2O

We study the non-radiative Auger decay of excitons in Cu$_2$O, in which two excitons scatter to an excited electron and hole. The exciton decay rate for the direct and the phonon-assisted processes is calculated from first principles; incorporating the band structure of the material leads to a relatively shorter lifetime of the triplet state ortho excitons. We compare our results with the Auger decay rate extracted from data on highly degenerate triplet excitons and Bose-condensed singlet excitons in Cu$_2$O.Comment: 15 pages, revtex, figures available from G. Kavoulaki

HL‐TWiM Empirical Model of High‐Latitude Upper Thermospheric Winds

We present an empirical model of thermospheric winds (High‐latitude Thermospheric Wind Model [HL‐TWiM]) that specifies F region high‐latitude horizontal neutral winds as a function of day of year, latitude, longitude, local time, and geomagnetic activity. HL‐TWiM represents the large‐scale neutral wind circulation, in geomagnetic coordinates, for the given input conditions. The model synthesizes the most extensive collection to date of historical high‐latitude wind measurements; it is based on statistical analyses of several decades of F region thermospheric wind measurements from 21 ground‐based stations (Fabry‐Perot Interferometers and Scanning Doppler Imaging Fabry‐Perot Interferometers) located at various northern and southern high latitudes and two space‐based instruments (UARS WINDII and GOCE). The geomagnetic latitude and local time dependences in HL‐TWiM are represented using vector spherical harmonics, day of year and longitude variations are represented using simple harmonic functions, and the geomagnetic activity dependence is represented using quadratic B splines. In this paper, we describe the HL‐TWiM formulation and fitting procedures, and we verify the model against the neutral wind databases used in its formulation. HL‐TWiM provides a necessary benchmark for validating new wind observations and tuning our physical understanding of complex wind behaviors. Results show stronger Universal Time variation in winds at southern than northern high latitudes. Model‐data intra‐annual comparisons in this study show semiannual oscillation‐like behavior of GOCE winds, rarely observed before in wind data.Key PointsWe developed a comprehensive empirical model of high‐latitude F region thermospheric winds (HL‐TWiM)Universal Time variations in high‐latitude winds are stronger in the Southern than Northern HemisphereHL‐TWiM provides a necessary benchmark for validating new high‐latitude wind observations and tuning first principal modelsPeer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/153588/1/jgra55363_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/153588/2/jgra55363-sup-0001-Figure_SI-S01.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/153588/3/jgra55363.pd

Quantum saturation and condensation of excitons in Cu2_2O: a theoretical study

Recent experiments on high density excitons in Cu$_2$O provide evidence for degenerate quantum statistics and Bose-Einstein condensation of this nearly ideal gas. We model the time dependence of this bosonic system including exciton decay mechanisms, energy exchange with phonons, and interconversion between ortho (triplet-state) and para (singlet-state) excitons, using parameters for the excitonic decay, the coupling to acoustic and low-lying optical phonons, Auger recombination, and ortho-para interconversion derived from experiment. The single adjustable parameter in our model is the optical-phonon cooling rate for Auger and laser-produced hot excitons. We show that the orthoexcitons move along the phase boundary without crossing it (i.e., exhibit a ``quantum saturation''), as a consequence of the balance of entropy changes due to cooling of excitons by phonons and heating by the non-radiative Auger two-exciton recombination process. The Auger annihilation rate for para-para collisions is much smaller than that for ortho-para and ortho-ortho collisions, explaining why, under the given experimental conditions, the paraexcitons condense while the orthoexcitons fail to do so.Comment: Revised to improve clarity and physical content 18 pages, revtex, figures available from G. Kavoulakis, Physics Department, University of Illinois, Urban

Understanding how stroke telerehabilitation works and for whom to inform recommendations for practice: The TELSTAR study protocol

Telerehabilitation (TR) shows promise as a method of remote service delivery, yet there is little guidance to inform implementation in the context of the National Health Service (NHS) in England. This paper presents the protocol for a realist synthesis study aiming to investigate how TR can be implemented to support the provision of high quality, equitable community-based stroke rehabilitation and under what conditions. Using a realist approach, we will synthesise information from: 1) a comprehensive evidence review; 2) qualitative interviews with clinicians (n≤30), and patient-family carer dyads (n≤60), from three purposively selected community stroke rehabilitation services in England. Working groups including rehabilitation professionals, service users and policy makers will co-develop actionable recommendations. Insights from the review and the interviews will be synthesised to test and refine programme theories that explain how TR works and for whom in clinical practice and draw key messages for service implementation. This protocol highlights the need to improve our understanding of TR implementation in the context of multidisciplinary, community-based stroke service provision. We suggest the use of realist methodology and co-production to inform evidence-based recommendations which consider the needs and priorities of clinicians and people affected by stroke