To send content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about sending content to .
To send content items to your Kindle, first ensure email@example.com
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about sending to your Kindle.
Note you can select to send to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
In this paper, we revisit our previous work in which we derive an effective macroscale description suitable to describe the growth of biological tissue within a porous tissue-engineering scaffold. The underlying tissue dynamics is described as a multiphase mixture, thereby naturally accommodating features such as interstitial growth and active cell motion. Via a linearization of the underlying multiphase model (whose nonlinearity poses a significant challenge for such analyses), we obtain, by means of multiple-scale homogenization, a simplified macroscale model that nevertheless retains explicit dependence on both the microscale scaffold structure and the tissue dynamics, via so-called unit-cell problems that provide permeability tensors to parameterize the macroscale description. In our previous work, the cell problems retain macroscale dependence, posing significant challenges for computational implementation of the eventual macroscopic model; here, we obtain a decoupled system whereby the quasi-steady cell problems may be solved separately from the macroscale description. Moreover, we indicate how the formulation is influenced by a set of alternative microscale boundary conditions.
Non-tuberculous mycobacterium encephalitis is rare. Since 2013, a global outbreak of Mycobacterium chimaera infection has been attributed to point-source contamination of heater cooler units used in cardiac surgery. Disseminated M. chimaera infection has presented many unique challenges, including non-specific clinical presentations with delays in diagnosis, and a high mortality rate among predominantly immunocompetent adults. Here, we describe three patients with fatal disseminated Mycobacterium chimaera infection showing initially non-specific, progressively worsening neurocognitive decline, including confusion, delirium, depression and apathy. Autopsy revealed widespread granulomatous encephalitis of the cerebrum, brain stem and spinal cord, along with granulomatous chorioretinitis. Cerebral involvement and differentiation between mycobacterial granulomas and microangiopathic changes can be assessed best on MRI with contrast enhancement. The prognosis of M. chimaera encephalitis appears to be very poor, but might be improved by increased awareness of this new syndrome and timely antimicrobial treatment.
This presentation will enable the learner to:
1.Describe the clinical, radiological and neuropathological findings of Mycobacterium chimaera encephalitis
2.Be aware of this rare form of encephalitis, and explain its diagnosis, prognosis and management
Numerous experimental studies have documented that injecting low-salinity water into an oil reservoir can increase the amount of oil recovered. However, owing to the complexity of the chemical interactions involved in this process, there has been much debate over the dominant mechanism causing this effect. In order to further understand one proposed mechanism, multicomponent ionic exchange, we study the motion of an oil slug through a clay pore throat filled with saline water. The pore throat is modelled as a capillary tube connecting two bulk regions of water. We assume that the surfaces of the oil and the capillary are negatively charged and that, due to repulsion between these surfaces, the oil slug is separated from the capillary surface by a thin film of water. Ion interactions at the oil–water and clay–water interfaces are modelled using the law of mass action. By using lubrication theory to describe the thin-film flow in the water layer separating the oil from the clay surface, and the macroscopic flow through the capillary, we derive expressions for the thickness of the wetting film, and the velocity of the oil slug, given a pressure difference across the ends of the capillary. Numerical results show that the thickness of the water layer and the velocity of the oil slug increase as the salinity of the water is reduced, suggesting that this mechanism contributes to the low-salinity effect. An analytical solution is presented in the limit in which the applied pressure is small.
Background: For adolescents with epilepsy, there is often a poor system in place to meet their individualized transition needs. Our objectives were 1) to develop epilepsy-specific transition care management plans (TCMPs) to ensure access, and attachment to adult healthcare providers, and 2) to identify strategies for providing support during the transition period, including through the development of physician and patient (or caregiver) navigated web-based tools, resources and recommendations for health system improvements. Methods: Physicians and nurses with expertise in areas including adult and pediatric epilepsy, family medicine, psychiatry, and varied allied health professionals were engaged to generate epilepsy-related TCMPs. Results: Through an iterative process spanning the course of over a year, TCMPs were developed to cover areas including: treatment responsive and resistant epilepsy, ketogenic diet, epilepsy surgery, women’s issues, mental health, and psychosocial aspects of epilepsy. The TCMPs referenced established guidelines and best practices in the literature wherever possible. Caregiver roles and responsibilities were outlined, remaining cognoscent of available provincial resources. Conclusions: Epilepsy specific TCMPs can be developed through a collaborative approach between pediatric and adult healthcare providers, easing the patient experience, creating educated accountability, and providing a forum to identify and address gaps of care in adolescents with epilepsy.
We report on the analysis of virtual powder-diffraction patterns from serial femtosecond crystallography (SFX) data collected at an X-ray free-electron laser. Different approaches to binning and normalizing these patterns are discussed with respect to the microstructural characteristics which each highlights. Analysis of SFX data from a powder of Pr0.5Ca0.5MnO3 in this way finds evidence of other trace phases in its microstructure which was not detectable in a standard powder-diffraction measurement. Furthermore, a comparison between two virtual powder pattern integration strategies is shown to yield different diffraction peak broadening, indicating sensitivity to different types of microstrain. This paper is a first step in developing new data analysis methods for microstructure characterization from serial crystallography data.
This paper describes the system architecture of a newly constructed radio telescope – the Boolardy engineering test array, which is a prototype of the Australian square kilometre array pathfinder telescope. Phased array feed technology is used to form multiple simultaneous beams per antenna, providing astronomers with unprecedented survey speed. The test array described here is a six-antenna interferometer, fitted with prototype signal processing hardware capable of forming at least nine dual-polarisation beams simultaneously, allowing several square degrees to be imaged in a single pointed observation. The main purpose of the test array is to develop beamforming and wide-field calibration methods for use with the full telescope, but it will also be capable of limited early science demonstrations.
The existence of a stream of tidally stripped stars from the Sagittarius dwarf galaxy demonstrates that the Milky Way is still in the process of accreting mass. More recently, an extensive stream of stars has been uncovered in the halo of the Andromeda galaxy (M31), revealing that it too is cannibalising a small companion. This paper reports the recent observations of this stream, determining its spatial and kinematic properties, and tracing its three-dimensional structure, as well as describing future observations and what we may learn about the Andromeda galaxy from this giant tidal stream.
Distributed constraint optimization problems (DCOPs) are important in many areas of computer science and optimization. In a DCOP, each variable is controlled by one of many autonomous agents, who together have the joint goal of maximizing a global objective function. A wide variety of techniques have been explored to solve such problems, and here we focus on one of the main families, namely iterative approximate best-response algorithms used as local search algorithms for DCOPs. We define these algorithms as those in which, at each iteration, agents communicate only the states of the variables under their control to their neighbours on the constraint graph, and that reason about their next state based on the messages received from their neighbours. These algorithms include the distributed stochastic algorithm and stochastic coordination algorithms, the maximum-gain messaging algorithms, the families of fictitious play and adaptive play algorithms, and algorithms that use regret-based heuristics. This family of algorithms is commonly employed in real-world systems, as they can be used in domains where communication is difficult or costly, where it is appropriate to trade timeliness off against optimality, or where hardware limitations render complete or more computationally intensive algorithms unusable. However, until now, no overarching framework has existed for analyzing this broad family of algorithms, resulting in similar and overlapping work being published independently in several different literatures. The main contribution of this paper, then, is the development of a unified analytical framework for studying such algorithms. This framework is built on our insight that when formulated as non-cooperative games, DCOPs form a subset of the class of potential games. This result allows us to prove convergence properties of iterative approximate best-response algorithms developed in the computer science literature using game-theoretic methods (which also shows that such algorithms can also be applied to the more general problem of finding Nash equilibria in potential games), and, conversely, also allows us to show that many game-theoretic algorithms can be used to solve DCOPs. By so doing, our framework can assist system designers by making the pros and cons of, and the synergies between, the various iterative approximate best-response DCOP algorithm components clear.
This study aimed to determine the prevalence of pain, and the adequacy of its treatment, amongst patients with head and neck cancer, and to determine whether specific groups could be identified as being at risk of pain.
Consecutive patients attending head and neck oncology out-patient services were surveyed.
The prevalence of pain was 34 per cent, lower than that found in systematic reviews. No specific risk factors for pain were identified. Particular pain problems in this population comprised a high incidence of neuropathic pain, breakthrough pain and pain of non-malignant origin.
The prevalence of unrelieved pain was high in this study population, although no specific risk factors were found. A further study is planned to determine the effect of using a routine screening tool and an immediate pain treatment protocol in this group of patients.
There are very few studies investigating remediation of event-based prospective memory (EB-PM) impairments following traumatic brain injury (TBI). To address this, we used 2 levels of motivational enhancement (dollars vs. pennies) to improve EB-PM in children with moderate to severe TBI in the subacute recovery phase. Children with orthopedic injuries (OI; n = 61), moderate (n = 28), or severe (n = 30) TBI were compared. Significant effects included Group × Motivation Condition (F(2, 115) = 3.73, p < .03). The OI (p < .002) and moderate TBI (p < .03) groups performed significantly better under the high- versus low-incentive condition; however, the severe TBI group failed to demonstrate improvement (p = .38). EB-PM performance was better in adolescents compared to younger children (p < .02). These results suggest that EB-PM can be significantly improved in the subacute phase with this level of monetary incentives in children with moderate, but not severe, TBI. Other strategies to improve EB-PM in these children at a similar point in recovery remain to be identified and evaluated. (JINS, 2010, 16, 335–341.)
Ultra-luminous infrared galaxies (ULIRGs; L > 1012 L⊙) are quite rare in the local universe, but seem to dominate the co-moving energy density at z > 2. Many are optically-faint, dust-obscured galaxies that have been identified only relatively recently by the detection of their thermal dust emission redshifted into the sub-mm wavelengths. These submm galaxies (SMGs) have been shown to be a massive objects (M* ~ 1011 M⊙) undergoing intense star-formation(SFRs ~ 102 − 103 M⊙ yr−1) and the likely progenitors of massive ellipticals today. However, the AGN contribution to the far-IR luminosity had for years remained a caveat to these results. We used the Spitzer Infrared Spectrograph (IRS) to investigate the energetics of 24 radio-identified and spectroscopically-confirmed SMGs in the redshift range of 0.6 < z < 3.2. We find emission from Polycyclic Aromatic Hydrocarbons (PAHs) – which are associated with intense star-formation activity – in >80% of our sample and find that the median mid-IR spectrum is well described by a starburst component with an additional power-law continuum representing < 32% AGN contribution to the far-IR luminosity. We also find evidence for a more extended distribution of warm dust in SMGs compared to the more compact nuclear bursts in local ULIRGs and starbursts, suggesting that SMGs are not simple high-redshift analogs of local ULIRGs or nuclear starbursts, but have star formation which resembles that seen in less-extreme star-forming environments at z ~ 0.
Ultra-luminous infrared galaxies (LIR > 1012L⊙) are locally rare, but appear to dominate the co-moving energy density at higher redshifts (z > 2). Many of these are optically faint, dust-obscured galaxies that have been identified by the detection of their thermal dust emission in the sub-mm. Multi-wavelength spectroscopic follow-up observations of these sub-mm galaxies (SMGs) have shown that they are massive (Mstellar ~ 1011M⊙) objects undergoing intense star-formation (SFRs ~ 102–103M⊙ yr−1) with a mean redshift of z ~ 2, coinciding with the epoch of peak quasar activity. Furthermore, the presence of AGNs in ~ 28–50% of SMGs has been unveiled in the X-ray and near-IR. When both AGN and star-formation activity are present, long-slit spectroscopic techniques face difficulties in disentangling their independent contributions from integrated spectra. We have observed Hα emission from a sample of three SMGs in the redshift range z ~ 1.4–2.4 with the integral field spectrograph OSIRIS on Keck, in conjunction with Laser Guide Star Adaptive Optics. The spatially resolved, two-dimensional spectroscopic insight that these observations provide is the only viable probe of the spatial distribution and line-of-sight motion of ionized gas within these galaxies. We detect multiple galactic-scale sub-components, distinguishing the compact, broad Hα emission arising from an AGN from the more extended narrow-line emission of star-forming regions spreading over ~ 8–17 kpc. We explore the dynamics of gas in the inner galaxy halo to improve our understanding of the internal dynamics of this enigmatic galaxy population. We find no evidence of ordered orbital motion such as would be found in a gaseous disk, but rather large velocity offsets of a few hundred kilometers per second between distinct galactic-scale sub-components. Considering the disturbed morphology of SMGs, these sub-components are likely remnants of originally independent gas-rich galaxies that are in the process of merging, hence triggering the ultraluminous SMG phase.
Serum samples obtained from patients hospitalized in Barbados with severe leptospirosis were tested by the microscopic agglutination test (MAT), enzyme immunoassay (EIA) and immunoblotting with leptospires that had been isolated from these patients. While serum samples taken a few days after onset of symptoms often showed no apparent correlation between MAT and EIA, later sequential serum samples produced similar profiles in both tests during the course of infection. Immunoblotting sonicate from Leptospira interrogans serovars arborea, copenhageni and bim with patients' sera, revealed reactions with a number of bands that corresponded with outer envelope components. These components included lipopolysaccharide (LPS), flagella and other outer membrane proteins, in addition to a low-molecular-weight (MW) carbohydrate cross-reactive with members of the Leptospiraceae. IgM antibodies elicited in the first to second week after infection reacted mainly with LPS and the low-MW cross-reactive carbohydrate. Comparative analysis of isolates of the same serovar by sodium dodecyl sulphate polyacrylamide gel electrophoresis and immunoblotting showed that while two serovar arborea isolates were identical, serovar bim isolates differed significantly from each other. This difference was also observed in comparative MAT testing.