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Adam Wright, Pamela M Neri, Skye Aaron, Thu-Trang T Hickman, Francine L Maloney, Daniel A Solomon, Dustin McEvoy, Angela Ai, Kevin Kron, Gianna Zuccotti
Background: Microbiology laboratory results are complex and cumbersome to review. We sought to develop a new review tool to improve the ease and accuracy of microbiology results review. Methods: We observed and informally interviewed clinicians to determine areas in which existing microbiology review tools were lacking. We developed a new tool that reorganizes microbiology results by time and organism. We conducted a scenario-based usability evaluation to compare the new tool to existing legacy tools, using a balanced block design...
March 17, 2018: Journal of the American Medical Informatics Association: JAMIA
Michael F Orr, Crystal Lederhos Smith, Myles Finlay, Samantha C Martin, Olivia Brooks, Oladunni A Oluwoye, Emily Leickly, Michael McDonell, Ekaterina Burduli, Celestina Barbosa-Leiker, Matt Layton, John M Roll, Sterling M McPherson
Contingency management (CM) is associated with decreases in off-target drug and alcohol use during primary target treatment. The primary hypothesis for this trial was that targeting alcohol use or tobacco smoking would yield increased abstinence in the opposite, nontargeted drug. We used a 2 [CM vs. noncontingent control (NC) for alcohol]×2 (CM vs. NC for smoking tobacco) factorial design, with alcohol intake (through urinary ethyl glucuronide) and tobacco smoking (through urinary cotinine) as the primary outcomes...
March 20, 2018: Behavioural Pharmacology
Lei He, Xiaoxiang Wang, Lian Duan
Light-emitting electrochemical cells (LECs) have emerged as a promising emissive thin-film technology for next-generation solid-state lighting. However, blue LECs show low performances, which has remained a bottleneck for the fabrication of white LECs for lighting applications. Here, we demonstrate a remarkable enhancement of overall device performance for blue LECs by using an electron-injecting/transporting ionic additive, i.e., [Zn(bpy)3](PF6)2 (bpy is 2.2'-bipyridine, PF6- is hexafluorophosphate). It is revealed that adding [Zn(bpy)3](PF6)2 into the active layers of blue LECs accelerates the device response, enhances simultaneously the brightness and efficiency, reduces the efficiency roll-offs, improves significantly the blue-color stability upon the continuous electrical operation and enhances the device operational stability at optimized conditions...
March 21, 2018: ACS Applied Materials & Interfaces
C Raina MacIntyre, Amalie Dyda, Chau Minh Bui, Abrar Ahmad Chughtai
Legionnaires' disease (LD) is reported from many parts of the world, mostly linked to drinking water sources or cooling towers. We reviewed two unusual rolling outbreaks in Sydney and New York, each clustered in time and space. Data on these outbreaks were collected from public sources and compared to previous outbreaks in Australia and the US. While recurrent outbreaks of LD over time linked to an identified single source have been described, multiple unrelated outbreaks clustered in time and geography have not been previously described...
March 21, 2018: Emerging Microbes & Infections
Benjamin T Pollard, Anthony N Turner, Robin Eager, Daniel J Cunningham, Christian J Cook, Patrick Hogben, Liam P Kilduff
OBJECTIVES: Rugby union is a high intensity intermittent sport, typically analysed via set time periods or rolling average methods. This study reports the demands of international rugby union via global positioning system (GPS) metrics expressed as mean ball in play (BiP), maximum BiP (max BiP), and whole match outputs. DESIGN: Single cohort cross sectional study involving 22 international players, categorised as forwards and backs. METHODS: A total of 88 GPS files from eight international test matches were collected during 2016...
March 3, 2018: Journal of Science and Medicine in Sport
Anthony Bouillod, Julien Pinot, Aurélien Valade, Johan Cassirame, Georges Soto-Romero, Frédéric Grappe
This study was designed to examine the influence of standing position (vs. seated) during uphill cycling on both mechanical cost (MC) and energy cost (EC) in elite cyclists. For the study, thirteen elite cyclists (VO2max : 71.4 ± 8.0 ml·min-1 ·kg-1 ) performed, in a randomised order, three sets of exercises. Each set comprised 2 min of exercise, alternating every 30 s between seated and standing postures, using different slopes and intensity levels on a motorised treadmill. MC was calculated from the measurement of power output and speed, whereas EC was calculated from the measurement of oxygen consumption and speed...
March 7, 2018: Journal of Biomechanics
H Nathues, P Alarcon, J Rushton, R Jolie, K Fiebig, M Jimenez, V Geurts, C Nathues
PRRS is among the diseases with the highest economic impact in pig production worldwide. Different strategies have been developed and applied to combat PRRS at farm level. The broad variety of available intervention strategies makes it difficult to decide on the most cost-efficient strategy for a given farm situation, as it depends on many farm-individual factors like disease severity, prices or farm structure. Aim of this study was to create a simulation tool to estimate the cost-efficiency of different control strategies at individual farm level...
April 1, 2018: Preventive Veterinary Medicine
Shehu S Awandu, Jaishree Raman, Takalani I Makhanthisa, Philip Kruger, John Frean, Teun Bousema, Jandeli Niemand, Lyn-Marie Birkholtz
BACKGROUND: Primaquine (PQ) is recommended as an addition to standard malaria treatments in pre-elimination settings due to its pronounced activity against mature Plasmodium falciparum gametocytes, the parasite stage responsible for onward transmission to mosquitoes. However, PQ may trigger haemolysis in glucose-6-phosphate dehydrogenase (G6PD)-deficient individuals. Additional human genetic factors, including polymorphisms in the human cytochrome P450 2D6 (CYP2D6) complex, may negatively influence the efficacy of PQ...
March 20, 2018: Malaria Journal
Nichole Moyle, Zhenping He, Haibin Wu, Chung-Yuen Hui, Anand Jagota
Numerous biomimetic structures made from elastomeric materials have been developed to produce enhancement in properties such as adhesion, static friction, and sliding friction. As a property, one expects adhesion to be represented by an energy per unit area that is usually sensitive to the combination of shear and normal stresses at the crack front but is otherwise dependent only on the two elastic materials that meet at the interface. More specifically, one would expect that adhesion measured by indentation (a popular and convenient technique) could be used to predict adhesion hysteresis in the more practically important rolling geometry...
March 20, 2018: Langmuir: the ACS Journal of Surfaces and Colloids
Marek E Schmidt, Ahmed M M Hammam, Takuya Iwasaki, Teruhisa Kanzaki, Manoharan Muruganathan, Shinichi Ogawa, Hiroshi Mizuta
Carbon nanoscrolls (CNS) with their open ended morphology have recently attracted interest due to the potential application in gas capture, biosensors and interconnects. However, CNS currently suffer from the same issue that have hindered widespread integration of CNTs in sensors and devices: Formation is done ex-situ, and the tubes have to be placed with precision and reliability - a difficult task with low yield. Here, we demonstrate controlled in-situ formation of electrically contacted CNS from suspended graphene nanoribbons (GNRs) with slight tensile stress...
March 20, 2018: Nanotechnology
Geoffrey A Anderson, Peter Kayima, Lenka Ilcisin, Noralis Portal Benitez, Katherine H Albutt, Susan M Briggs, Deepika Nehra
OBJECTIVE: The goal of this project was to create a multitiered trauma training curriculum that was designed specifically for the low-resource setting. DESIGN: We developed 2 courses designed to teach principles and skills necessary for trauma care. The first course, "Emergency Ward Management of Trauma (EWMT)," is designed to teach interns the initial assessment and stabilization of trauma patients in the emergency ward. The second course for mid-level surgical residents, "Surgical Techniques and Repairs in Trauma for the Low-resource Environment" (STaRTLE), is a cadaver-based operative trauma course designed to teach surgical exposures and techniques...
March 16, 2018: Journal of Surgical Education
James H Park, Antonina Roll-Mecak
Cells depend on the asymmetric distribution of their components for homeostasis, differentiation and movement. In no other cell type is this requirement more critical than in the neuron where complex structures are generated during process growth and elaboration and cargo is transported over distances several thousand times the cell body diameter. Microtubules act both as dynamic structural elements and as tracks for intracellular transport. Microtubules are mosaic polymers containing multiple tubulin isoforms functionalized with abundant posttranslational modifications that are asymmetrically distributed in neurons...
March 16, 2018: Current Opinion in Neurobiology
Mathew Boban, Kevin Golovin, Brian Tobelmann, Omkar Gupte, Joseph M Mabry, Anish Tuteja
The utility of omniphobic surfaces stems from their ability to repel a multitude of liquids, possessing a broad range of surface tensions and polarities, by causing them to bead up and either roll or slide off. These surfaces may be self-cleaning, corrosion-resistant, heat-transfer enhancing, stain-resistant or resistant to mineral- or bio-fouling. The majority of reported omniphobic surfaces use texture, lubricants, and/or grafted monolayers to engender these repellent properties. Unfortunately, these approaches often produce surfaces with deficiencies in long-term stability, durability, scalability, or applicability to a wide range of substrates...
March 19, 2018: ACS Applied Materials & Interfaces
Tomasz Krzywkowski, Malte Kühnemund, Di Wu, Mats Nilsson
Phi29 (Φ29) DNA polymerase is an enzyme commonly used in DNA amplification methods such as rolling circle amplification (RCA) and multiple strand displacement amplification (MDA), as well as in DNA sequencing methods such as single molecule real time (SMRT) sequencing. Here, we report the ability of phi29 DNA polymerase to amplify RNA-containing circular substrates during RCA. We found that circular substrates with single RNA substitutions are amplified at a similar amplification rate as non-chimeric DNA substrates, and that consecutive RNA pyrimidines were generally preferred over purines...
March 15, 2018: Nucleic Acids Research
Piran R Kidambi, Dhanushkodi D Mariappan, Nicholas T Dee, Andrey Vyatskikh, Sui Zhang, Rohit Karnik, A John Hart
Scalable, cost-effective synthesis and integration of graphene is imperative to realize large-area applications such as nanoporous atomically thin membranes (NATMs). Here, we report a scalable route to the production of NATMs via high-speed, continuous synthesis of large-area graphene by roll-to-roll chemical vapor deposition (CVD), combined with casting of a hierarchically porous polymer support. To begin, we designed and built a two zone roll-to-roll graphene CVD reactor, which sequentially exposes the moving foil substrate to annealing and growth atmospheres, with a sharp, isothermal transition between the zones...
March 19, 2018: ACS Applied Materials & Interfaces
Sarang Kim, Mitchell McMaster, Susan Torres, Kay L Cox, Nicola Lautenschlager, George W Rebok, Dimity Pond, Catherine D'Este, Ian McRae, Nicolas Cherbuin, Kaarin J Anstey
INTRODUCTION: It has been estimated that a 10%-25% reduction in seven key risk factors could potentially prevent 1.1-3.0 million Alzheimer's disease cases globally. In addition, as dementia is preceded by more subtle cognitive deficits which have substantial social and economic impact, effective preventative interventions would likely have more extensive benefits. The current study evaluates in primary care a multidomain risk-reduction intervention targeting adults with high risk of developing dementia...
March 17, 2018: BMJ Open
A Bürgin, C J Bockisch, A A Tarnutzer
OBJECTIVE: Gait imbalance in patients with bilateral-vestibular-deficiency (BVD) was linked to increased variability in perceived direction of gravity while upright. We hypothesized this to be true also when roll-tilted. Moreover, as utricular input is essential for spatial orientation, we predicted the variability of perceived vertical to correlate inversely with utricular function. METHODS: Subjective visual vertical (SVV) and haptic vertical (SHV) were measured in various roll-orientations (0°/±45°/±90°) and postural adjustments along earth-vertical/earth-horizontal were collected in patients with partial BVD (n = 10) and healthy controls (n = 11)...
March 5, 2018: Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology
Jingguo Xu, Jia Guo, Sarah Wanjiku Mania, Yumeng Yang, Yimin Hu, Xuanxuan Li, Jiarong Qiu, Zhihong Xin
An ultra-sensitive aptamer-based biosensor for the detection of staphylococcus aureus was established by adopting the nicking enzyme amplification reaction (NEAR) and the rolling circle amplification (RCA) technologies. Aptamer-probe (AP), containing an aptamer and a probe sequence, was developed to act as the recognition unit of the biosensor, which was specifically bound to S. aureus. The probe was released from AP and initiated into the subsequent DNA amplification reactions where S. aureus was present, converting the detection of S...
March 15, 2018: Analytical Biochemistry
Jesper Jansen, Ruud Schreurs, Leander Dubois, Thomas J J Maal, Peter J J Gooris, Alfred G Becking
OBJECTIVE: Advanced three-dimensional (3D) diagnostics and preoperative planning are the first steps in computer-assisted surgery (CAS). They are an integral part of the workflow, and allow the surgeon to adequately assess the fracture and to perform virtual surgery to find the optimal implant position. The goal of this study was to evaluate the accuracy and predictability of 3D diagnostics and preoperative virtual planning without intraoperative navigation in orbital reconstruction. METHODS: In 10 cadaveric heads, 19 complex orbital fractures were created...
February 26, 2018: Journal of Cranio-maxillo-facial Surgery
Arantxa Alonso, Isabel Mercader, Oriol Batiste
This paper reports on numerical investigations of the effect of a slight inclination α on pattern formation in a shallow vertical cylindrical cell heated from below for binary mixtures with a positive value of the Soret coefficient. By using direct numerical simulation of the three-dimensional Boussinesq equations with Soret effect in cylindrical geometry, we show that a slight inclination of the cell in the range α≈0.036rad=2^{∘} strongly influences pattern selection. The large-scale shear flow (LSSF) induced by the small tilt of gravity overcomes the squarelike arrangements observed in noninclined cylinders in the Soret regime, stratifies the fluid along the direction of inclination, and produces an enhanced separation of the two components of the mixture...
February 2018: Physical Review. E
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