Diurnal and seasonal variations of <i>hm</i>F2 deduced from digitalionosonde over New Delhi and its comparison with IRI 2001

International audienceUsing digital ionosonde observations at a low mid-latitude station, New Delhi (28.6°N, 77.2°E, dip 42.4°N), we have derived hourly monthly values of hmF2 (the real height corresponding to the peak electron density in the F2-region), employing both the Dudeney (1983) and Bilitza (1990) empirical formulations for the period from January 2001 to August 2002. The diurnal and seasonal variations of hmF2 are analyzed. Further, to assess the predictability of the latest available model, International Reference Ionosphere, (IRI-2001), we have obtained the median values of hmF2 derived from M(3000)F2 for each hour during different seasons and compare these with the model. Our results show that both the Dudeney (1983) and Bilitza (1990) formulations reveal more or less a similar diurnal trend of hmF2, with higher values around midnight and lower during sunrise, in all the seasons. It is also noted that the hmF2 shows a larger variability around midnight than by daytime, in all the seasons. Further, the study shows that median values of observed hmF2, using both formulations, are somewhat larger than those predicted by the IRI, in all seasons and at all local times. During summer, the IRI values agree comparatively well with the observations, especially during daytime. Major discrepancies occur when the IRI underestimates observed hmF2 for local times from about 14:00 LT to 18:00 LT and 04:00 LT to 05:00 LT during winter and equinox, where the percentage deviation of the observed hmF2 values with respect to the IRI model varies from 15 to 25%. The difference between the model and observations, outside this time period, remains less than 20% during all the seasons. Key words. Ionosphere (modelling and forecasting; equatorial ionosphere

The suppression of magnetism and the development of superconductivity within the collapsed tetragonal phase of Ca0.67Sr0.33Fe2As2 at high pressure

Structural and electronic characterization of (Ca0.67Sr0.33)Fe2As2 has been performed as a func- tion of pressure up to 12 GPa using conventional and designer diamond anvil cells. The compound (Ca0.67Sr0.33)Fe2As2 behaves intermediate between its end members-CaFe2As2 and SrFe2As2- displaying a suppression of magnetism and the onset of superconductivity. Like other members of the AEFe2As2 family, (Ca0.67Sr0.33)Fe2As2 undergoes a pressure-induced isostructural volume collapse, which we associate with the development of As-As bonding across the mirror plane of the structure. This collapsed tetragonal phase abruptly cuts off the magnetic state, giving rise to superconductivity with a maximum Tc=22.2 K. The maximum Tc of the superconducting phase is not strongly correlated with any structural parameter, but its proximity to the abrupt suppression of magnetism as well as the volume collapse transition suggests that magnetic interactions and structural inhomogeneity may play a role in its development. The pressure-dependent evolution of the ordered states and crystal structures in (Ca,Sr)Fe2As2 provides an avenue to understand the generic behavior of the other members of the AEFe2As2 family.Comment: 9 pages, 9 figure

Adherence and Acceptability of Telehealth Appointments for High Risk Obstetrical Patients During the COVID-19 Pandemic.

Background:Telehealth has been successfully implemented for the delivery of obstetrical care. However, little is known regarding the attitudes and acceptability of patients and providers in high risk obstetrics and if implementation improves access to care in non-rural settings. Objective:The study aims to: 1) Describe patient and provider attitudes toward telehealth for delivery of high risk obstetrical care in a large health care system with both urban and suburban settings. 2) Determine if implementation of a telehealth model improves patient adherence to scheduled appointments in this patient population.Study DesignTwo self-administered surveys were designed. The first survey was sent to all high-risk obstetrical patients who received a telehealth visit between March 1, 2020 and May 30, 2020. The second survey was designed for providers who participated in these visits. We also compared the attended, cancelled and no show visit rates before (March 1-May 30, 2019) and after (March 1-May 30, 2020) telehealth implementation, as well as telehealth versus in person visits in 2020. We reviewed scheduled high-risk prenatal care appointments, diabetes education sessions, and genetic counseling and Maternal- Fetal Medicine consultations. Results:A total of 91 patient surveys and 33 provider surveys were analyzed. Overall, 86.9% of patients were satisfied with the care they received and 78.3% would recommend telehealth visits to others. 87.8% of providers reported having a positive experience using telehealth, and 90.9% believed that telehealth improved patients\u27 access to care. When comparing patient and provider preference regarding future obstetrical care after experiencing telehealth, 73.8% of patients desired a combination of in person and telehealth visits during their pregnancy. However, a significantly higher rate of providers preferred in-person visits (56% vs 23% respectively). When comparing visits between 2019 and 2020, there was a significantly lower rate of no-show appointments, patient-cancelled appointments, and patient same-day cancellations with the implementation of telehealth. There was also a significantly lower rate of patient-cancelled appointments, and patient same-day cancellations with those receiving telehealth visits compared to in person visits in 2020. Conclusion:Implementation of telehealth in high risk obstetrics has the potential to improve access to high risk obstetrical care, by reducing the rate of missed appointments. Both patients and providers surveyed expressed a high rate of satisfaction with telehealth visits and a desire to integrate telehealth into the traditional model of high risk obstetrical care

Distinct role of CD80 and CD86 in the regulation of the activation of B cell and B cell lymphoma

To date, not much has been known regarding the role of CD80 and CD86 molecules in signaling of B cells. The CD28/CTLA4 ligands, CD80 (B7-1) and CD86 (B7-2), are expressed on the surface of freshly isolated splenic B cells and their expression is up-regulated by lipopolysaccharides. In the present study, we have investigated whether signaling via CD80/CD86 could alter the proliferation and immunoglobulin synthesis of B cells. Splenic B cells were stimulated with lipopolysaccharides in the presence of anti-B7-1 (16-10A1) and anti-B7-2 (GL1) monoclonal antibodies (mAbs). Exciting features observed during the study were that cross-linking of CD86 with GL1 enhanced the proliferation and production of IgG1 and IgG2a isotypes. In contrast, anti-B7-1 (16-10A1) mAb could efficiently block the proliferation and production of IgG1 and IgG2a. Furthermore, GL1 mAb could also induce the secretion of IgG isotypes from B cell lymphomas. Importantly, 16-10A1 could retard the growth of lymphomas and favored the up-regulation of pro-apoptotic molecules caspase-3, caspase-8, Fas, FasL, Bak and Bax and down-regulation of anti-apoptotic molecule Bcl-x(L). In contrast, GL1 augmented the level of anti-apoptotic molecules Bcl-w and Bcl-x(L) and decreased the levels of pro-apoptotic molecule caspase-8, thereby providing a novel insight into the mechanism whereby triggering through CD80 and CD86 could deliver regulatory signals. Thus, this study is the first demonstration of a distinct signaling event induced by CD80 and CD86 molecules in B cell lymphoma. Finally, the significance of the finding is that CD80 provided negative signal for the proliferation and IgG secretion of normal B cells and B cell lymphomas. In contrast, CD86 encouraged the activity of B cells

The Frequency and Content of Discussions About Alcohol Use in Primary Care and Application of the Chief Medical Officer’s Low-Risk Drinking Guidelines: A Cross-Sectional Survey of General Practitioners and Practice Nurses in the UK

ABSTRACT Aims: To examine how often General Practitioners (GPs) and Practice Nurses (PNs) working in primary care discuss alcohol with patients, what factors prompt discussions, how they approach patient discussions, and whether the Chief Medical Officer’s (CMO’s) revised low-risk drinking guidelines are appropriately advised. Methods: Cross-sectional survey with GPs and PNs working in primary care in the UK, conducted January-March 2017 (n=2,020). A vignette exercise examined what factors would prompt a discussion about alcohol, whether they would discuss before or after a patient reported exceeded the revised CMO guidelines (14 units per week), and whether the CMO’s drinking guidelines were appropriately advised. For all patients, participants were asked how often they discussed alcohol and how they approached the discussion (e.g. used screening tool). Results: The most common prompts to discuss alcohol in the vignette exercise were physical cues (44.7% of participants) or alcohol-related symptoms (23.8%). Most practitioners (70.1%) said they would wait until a patient was exceeding CMO guidelines before instigating discussion. Two-fifths (38.1%) appropriately advised the CMO guidelines in the vignette exercise, with PNs less likely to do so than GPs (OR=0.77, p=0.03). Less than half (44.7%) reportedly asked about alcohol always/often with all patients, with PNs more likely to ask always/often than GPs (OR=2.22, p<0.001). Almost three-quarters said they would enquire by asking about units (70.3%), compared to using screening tools. Conclusion: Further research is required to identify mechanisms to increase the frequency of discussions about alcohol and appropriate recommendation of the CMO drinking guidelines to patients.This research was supported by funding from Cancer Research UK. JMB is supported by the Medical Research Council (MRC) (Grant MC_UU_12015/4)

Thermal Stabilization of the HCP Phase in Titanium

We have used a tight-binding model that is fit to first-principles electronic-structure calculations for titanium to calculate quasi-harmonic phonons and the Gibbs free energy of the hexagonal close-packed (hcp) and omega crystal structures. We show that the true zero-temperature ground-state is the omega structure, although this has never been observed experimentally at normal pressure, and that it is the entropy from the thermal population of phonon states which stabilizes the hcp structure at room temperature. We present the first completely theoretical prediction of the temperature- and pressure-dependence of the hcp-omega phase transformation and show that it is in good agreement with experiment. The quasi-harmonic approximation fails to adequately treat the bcc phase because the zero-temperature phonons of this structure are not all stable