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Generation gap

Rajiv Singh, Saurabh Sinha, Alan Bill, Lynne Turner-Stokes
OBJECTIVE: To identify the needs for specialised rehabilitation provision in a cohort of neurosurgical patients; to determine if these were met, and to estimate the potential cost implications and cost-benefits of meeting any unmet rehabilitation needs. METHODS: A prospective study of in-patient admissions to a regional neurosurgical ward. Assessment of needs for specialised rehabilitation (Category A or B needs) was made with the Patient Categorisation Tool. The number of patients who were referred and admitted for specialised rehabilitation was calculated...
October 19, 2016: British Journal of Neurosurgery
Sairam Parthasarathy, Mary A Carskadon, Girardin Jean-Louis, Judith Owens, Adam Bramoweth, Daniel Combs, Lauren Hale, Elizabeth Harrison, Chantelle N Hart, Brant P Hasler, Sarah M Honaker, Elisabeth Hertenstein, Samuel Kuna, Clete Kushida, Jessica C Levenson, Caitlin Murray, Allan I Pack, Vivek Pillai, Kristi Pruiksma, Azizi Seixas, Patrick Strollo, Saurabh S Thosar, Natasha Williams, Daniel Buysse
A wealth of scientific knowledge is being generated in sleep and circadian science. In order for us to realize the return on investment for such scientific knowledge and to improve the health of the nation, we need to disseminate and implement research findings into practice. An implementation gap - termed a "quality chasm" by the Institutes of Medicine - separates the scientific knowledge we possess and the implementation of such knowledge into preventative interventions or healthcare treatments. It is frequently reported that a time lag of 17 years transpires before medical research reaches clinical practice...
October 10, 2016: Sleep
Raf Donders, Kathleen Sanen, Rik Paesen, Eli Slenders, Wilfried Gyselaers, Piet Stinissen, Marcel Ameloot, Niels Hellings
In situ detection of MSCs remains difficult and warrants additional methods to aid with their characterization in vivo. Two-photon confocal laser scanning microscopy (TPM) and second harmonic generation (SHG) could fill this gap. Both techniques enable the detection of cells and extracellular structures, based on intrinsic properties of the specific tissue and intracellular molecules under optical irradiation. TPM imaging and SHG imaging have been used for label-free monitoring of stem cells differentiation, assessment of their behavior in biocompatible scaffolds, and even cell tracking in vivo...
2016: Stem Cells International
Giuseppe Lanza, Cornelius G Bachmann, Imad Ghorayeb, Yuping Wang, Raffale Ferri, Walter Paulus
Neurophysiological techniques have been applied in restless legs syndrome (RLS) to obtain direct and indirect measures of central and peripheral nervous system excitability, as well as to probe different neurotransmission pathways. Data converge on the hypothesis that, from a pure electrophysiological perspective, RLS should be regarded as a complex sensorimotor disorder in which cortical, subcortical, spinal cord, and peripheral nerve generators are all involved in a network disorder, resulting in an enhanced excitability and/or decreased inhibition...
August 27, 2016: Sleep Medicine
Dong Jin Lee, G Mohan Kumar, P Ilanchezhiyan, Jae-Chul Lee, Sung Ryong Ryu, Tae Won Kang
Nowadays, solid-state inorganic-organic hybrid solar cells based on one-dimensional (1D) inorganic semiconducting nanostructures and organic polymers are believed to offer convincing solutions for the realm of next generation solar cells. In this regard, 1D ZnCdS nanowire (NW) arrays were fabricated on transparent conducting substrates through a catalyst free co-evaporation method and their wurtzite structural characteristics, 1D morphological layout and valence state/composition were studied in detail using X-ray diffraction, high-resolution electron microscopy and X-ray photoelectron spectroscopy, respectively...
October 5, 2016: Journal of Colloid and Interface Science
Robert F Halliwell
Functional studies of neurons have traditionally used nervous system tissues from a variety of non-human vertebrate and invertebrate species, even when the focus of much of this research has been directed at understanding human brain function. Over the last decade, the identification and isolation of human stem cells from embryonic, tissue (or adult) and induced pluripotent stem cells (iPSCs) has revolutionized the availability of human neurons for experimental studies in vitro. In addition, the direct conversion of terminally differentiated fibroblasts into Induced neurons (iN) has generated great excitement because of the likely value of such human stem cell derived neurons (hSCNs) and iN cells in drug discovery, neuropharmacology, neurotoxicology and regenerative medicine...
October 11, 2016: Neurochemistry International
Curtis H Weiss, Jerry A Krishnan, David H Au, Bruce G Bender, Shannon S Carson, Adithya Cattamanchi, Michelle M Cloutier, Colin R Cooke, Karen Erickson, Maureen George, Joe K Gerald, Lynn B Gerald, Christopher H Goss, Michael K Gould, Robert Hyzy, Jeremy M Kahn, Brian S Mittman, Erika M Mosesón, Richard A Mularski, Sairam Parthasarathy, Sanjay R Patel, Cynthia S Rand, Nancy S Redeker, Theodore F Reiss, Kristin A Riekert, Gordon D Rubenfeld, Judith A Tate, Kevin C Wilson, Carey C Thomson
BACKGROUND: Many advances in health care fail to reach patients. Implementation science is the study of novel approaches to mitigate this evidence-to-practice gap. METHODS: The American Thoracic Society (ATS) created a multidisciplinary ad hoc committee to develop a research statement on implementation science in pulmonary, critical care, and sleep medicine. The committee used an iterative consensus process to define implementation science and review the use of conceptual frameworks to guide implementation science for the pulmonary, critical care, and sleep community and to explore how professional medical societies such as the ATS can promote implementation science...
October 15, 2016: American Journal of Respiratory and Critical Care Medicine
Alexander A Doinikov, Thomas Combriat, Pierre Thibault, Philippe Marmottant
A theoretical model is developed for acoustic streaming generated by a cylindrical bubble confined in a fluid channel between two planar elastic walls. The bubble is assumed to undergo volume and translational oscillations. The volume oscillation is caused by an imposed acoustic pressure field and generates the bulk scattered wave in the fluid gap and Lamb-type surface waves propagating along the fluid-wall interfaces. The translational oscillation is induced by the velocity field of an external sound source such as another bubble or an oscillatory fluid flow...
September 2016: Physical Review. E
Pedram Hanafizadeh, Nima Mirkhani, Mohammad Reza Davoudi, Mahtab Masouminia, Keyvan Sadeghy
Coronary arteries, which are branched from the sinuses, have tangible effects on the hemodynamic performance of the bileaflet mechanical heart valve (BMHV), especially in the diastolic phase. To better understand this issue, a computer model of ascending aorta including realistic sinus shapes and coronary arteries has been generated in this study in order to investigate the BMHV performance during diastole. Three-dimensional transient numerical analysis is conducted to simulate the diastolic blood flow through the hinges and in coronary arteries under the assumption of non-Newtonian behavior...
October 2016: Artificial Organs
Hongmei Liu, Hisashi Kondo, Takahisa Ohno
Utilizing first-principles theory, we demonstrate that half-metallicity can be realized in a junction composed of non-magnetic armchair graphene nanoribbon (AGNR) and ferromagnetic Ni electrodes. The half-metallic property originates from the AGNR energy gap of the up spin located at the Fermi energy, while large electronic states are generated for the down spin. By altering the interlayer distance and the contact area, namely, the strength of AGNR-Ni interaction, the efficiency of the spin filter becomes lower, since the energy gap moves away from the Fermi energy with the variation of charge transfer intensity...
December 2016: Nanoscale Research Letters
Zhe He, Neil Charness, Jiang Bian, William R Hogan
Well-designed and well-conducted clinical studies represent gold standard approaches for generating medical evidence. However, elderly populations are systematically underrepresented in studies across major chronic medical conditions, which has hampered the generalizability (external validity) of studies to the real-world patient population. It is the norm that intervention studies often require a homogeneous cohort to test their hypotheses; therefore older adults with co-medications and comorbidities are often excluded...
February 2016: ... IEEE-EMBS International Conference on Biomedical and Health Informatics. IEEE-EMBS International Conference on Biomedical and Health Informatics
Ellen Brady, Julia Segar, Caroline Sanders
BACKGROUND: The ethics of research into online communities is a long-debated issue, with many researchers arguing that open-access discussion groups are publically accessible data and do not require informed consent from participants for their use for research purposes. However, it has been suggested that there is a discrepancy between the perceived and actual privacy of user-generated online content by community members. OBJECTIVE: There has been very little research regarding how privacy is experienced and enacted online...
October 13, 2016: Journal of Medical Internet Research
Augusta Whitney Kluk, Tina Zhang, Joseph P Russell, Hyunchul Kim, Adam H Hsieh, Robert V O'Toole
Orthopedic dogma states that external fixator stiffness is improved by placing 1 pin close to the fracture and 1 as distant as possible ("near-far"). This fixator construct is thought to be less expensive than placing pins a shorter distance apart and using "pin-bar" clamps that attach pins to outriggers. The authors therefore hypothesized that the near-far construct is stiffer and less expensive. They compared mechanical stiffness and costs of near-far and pin-bar constructs commonly used for temporary external fixation of femoral shaft fractures...
October 13, 2016: Orthopedics
Meng Ju, Cheng Lu, Yau-Yuen Yeung, Xiaoyu Kuang, Jingjing Wang, Yongsheng Zhu
The recent renaissance of the use of rare-earth doped yttrium orthoaluminate as an ideal laser material has generated significant interest; however, the unique structural features underlying many of its outstanding optical properties still require elucidation. To solve this intriguing problem, we performed a systematic first-principles study; the results of the study reveal a new stable phase for Tm(3+) doped YAlO3 (YAP), of monoclinic Pm symmetry, with an 80-atom per unit cell. An unbiased CALYPSO structure search indicates that the Tm(3+) impurity ion tends to substitute the position of Y(3+) in the YAP crystal lattice...
October 13, 2016: ACS Applied Materials & Interfaces
Laura Amo
BACKGROUND: Persons with a college degree are more likely to engage in eHealth behaviors than persons without a college degree, compounding the health disadvantages of undereducated groups in the United States. However, the extent to which quality of recent eHealth experience reduces the education-based eHealth gap is unexplored. OBJECTIVE: The goal of this study was to examine how eHealth information search experience moderates the relationship between college education and eHealth behaviors...
October 12, 2016: Journal of Medical Internet Research
(no author information available yet)
BACKGROUND: Non-fatal outcomes of disease and injury increasingly detract from the ability of the world's population to live in full health, a trend largely attributable to an epidemiological transition in many countries from causes affecting children, to non-communicable diseases (NCDs) more common in adults. For the Global Burden of Diseases, Injuries, and Risk Factors Study 2015 (GBD 2015), we estimated the incidence, prevalence, and years lived with disability for diseases and injuries at the global, regional, and national scale over the period of 1990 to 2015...
October 8, 2016: Lancet
Yu Hang Leung, Xiaoying Xu, Angel P Y Ma, Fangzhou Liu, Alan M C Ng, Zhiyong Shen, Lee A Gethings, Mu Yao Guo, Aleksandra B Djurišić, Patrick K H Lee, Hung Kay Lee, Wai Kin Chan, Frederick C C Leung
We performed a comprehensive investigation of the toxicity of ZnO and TiO2 nanoparticles using Escherichia coli as a model organism. Both materials are wide band gap n-type semiconductors and they can interact with lipopolysaccharide molecules present in the outer membrane of E. coli, as well as produce reactive oxygen species (ROS) under UV illumination. Despite the similarities in their properties, the response of the bacteria to the two nanomaterials was fundamentally different. When the ROS generation is observed, the toxicity of nanomaterial is commonly attributed to oxidative stress and cell membrane damage caused by lipid peroxidation...
October 12, 2016: Scientific Reports
Hagai Eshet, Roi Baer, Daniel Neuhauser, Eran Rabani
Multiexciton generation, by which more than a single electron-hole pair is generated on optical excitation, is a promising paradigm for pushing the efficiency of solar cells beyond the Shockley-Queisser limit of 31%. Utilizing this paradigm, however, requires the onset energy of multiexciton generation to be close to twice the band gap energy and the efficiency to increase rapidly above this onset. This challenge remains unattainable even using confined nanocrystals, nanorods or nanowires. Here, we show how both goals can be achieved in a nanorod heterostructure with type-II band offsets...
October 11, 2016: Nature Communications
Yunlei Zhong, Xun Qiu, Dongyun Chen, Na-Jun Li, Qing-Feng Xu, Hua Li, Jinghui He, Jian-Mei Lu
We report an efficient and scalable process for fabricating flexible membranes of electrospun carbon nanofiber/tin(IV) sulfide (CNF@SnS2) core/sheath fibers. CNF@SnS2 is a new photocatalytic material which can be used to treat wastewater containing high concentrations of hexavalent chromium (Cr(VI)). The hierarchical CNF@SnS2 core/sheath membranes have a three-dimensional macroporous architecture. This provides continuous channels for the rapid diffusion of photoelectrons generated by SnS2 nanoparticles, under visible light irradiation...
October 10, 2016: ACS Applied Materials & Interfaces
Craig Stephen
The unprecedented threats to the health and sustainability of wildlife populations are inspiring conversations on the need to change the way knowledge is generated, valued, and used to promote action to protect wildlife health. Wildlife Health 2.0 symbolizes the need to investigate how to improve connections between research expertise and policy or practices to protect wildlife health. Two imperatives drive this evolution: 1) growing frustrations that research is inadequately being used to inform management decisions and 2) the realization that scientific certainty is context specific for complex socioecologic issues, such as wildlife health...
October 10, 2016: Journal of Wildlife Diseases
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