1
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Nolan R, Angelov S, Geoghegan L, O'Sullivan M, Anderson C, Coffey D, Dennehy O, Shanley E, Iohom G, Moran P, Nolan P, O'Gara A. Postoperative opioid prescribing patterns in Ireland: a retrospective multicentre analysis. Br J Anaesth 2024; 132:982-983. [PMID: 38538513 DOI: 10.1016/j.bja.2024.02.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2023] [Revised: 01/28/2024] [Accepted: 02/05/2024] [Indexed: 04/22/2024] Open
Affiliation(s)
- Rachel Nolan
- Department of Anaesthesiology, St. James's Hospital, Dublin, Ireland.
| | - Sophia Angelov
- Department of Anaesthesiology, Cork University Hospital, Cork, Ireland
| | - Laoise Geoghegan
- Department of Anaesthesiology, St. James's Hospital, Dublin, Ireland
| | - Mai O'Sullivan
- Department of Anaesthesiology, Galway University Hospital, Galway, Ireland
| | - Cian Anderson
- Department of Anaesthesiology, Cork University Hospital, Cork, Ireland
| | - Daniel Coffey
- Department of Anaesthesiology, Cork University Hospital, Cork, Ireland
| | - Oscar Dennehy
- Department of Anaesthesiology, Cork University Hospital, Cork, Ireland
| | - Eoghan Shanley
- Department of Anaesthesiology, Galway University Hospital, Galway, Ireland
| | - Gabriella Iohom
- Department of Anaesthesiology, Cork University Hospital, Cork, Ireland
| | - Peter Moran
- Department of Anaesthesiology, Galway University Hospital, Galway, Ireland
| | - Philip Nolan
- Kathleen Lonsdale Institute, Maynooth University, Maynooth, Ireland
| | - Aine O'Gara
- Department of Anaesthesiology, St. James's Hospital, Dublin, Ireland
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2
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Nolan P, McEvoy JW. Salt restriction for treatment of hypertension - current state and future directions. Curr Opin Cardiol 2024; 39:61-67. [PMID: 38078601 DOI: 10.1097/hco.0000000000001098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/18/2023]
Abstract
PURPOSE OF REVIEW Given the adverse effects of excess dietary sodium chloride (also known as table salt) on blood pressure (BP) and cardiovascular disease (CVD), restriction of dietary sodium is recommended by numerous guidelines. The strictest of these recommend no more than 1.5 g/day of dietary sodium among hypertensive persons. However, average dietary sodium intake in the population is closer to 5 g/day and there is debate about whether too much sodium restriction may be associated with increased CVD risk. Herein, we aim to provide a balanced update on this topic. RECENT FINDINGS In 2021, the Salt Substitute and Stroke Study (SSaSS) demonstrated a significant reduction in BP, CVD, and death among Chinese adults randomized to a low sodium salt-substitute supplemented with potassium. This trial largely puts to rest any remaining debate about the benefits of dietary sodium restriction among persons with excess baseline intake (dietary sodium intake fell from approximately 5 down to 4 g/day in the active arm of SSaSS). However, whether achieving and maintaining a dietary sodium of less than1.5 g/day is feasible in real-world settings and whether this low an intake is harmful remain open questions. SUMMARY Aiming for sodium intakes of 2--3 g/day in the general population and as low as 2 g/day in persons with hypertension or CVD seems most reasonable, but there is some uncertainty around lower targets.
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Affiliation(s)
- Philip Nolan
- University Hospital Galway and SAOLTA University Healthcare Group
- School of Medicine, University of Galway
| | - John W McEvoy
- University Hospital Galway and SAOLTA University Healthcare Group
- School of Medicine, University of Galway
- National Institute for Prevention and Cardiovascular Health, Galway, Ireland
- Johns Hopkins University School of Medicine and Bloomberg School of Public Health, Baltimore, Maryland, USA
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Nolan P, Samad S, Kiernan T. Pericardial Tuberculosis in a Non-endemic Region Presenting as a Persistent Upper Respiratory Tract Infection With Negative Serology, Bronchial Washings, and Pleural Aspirate. Cureus 2024; 16:e52227. [PMID: 38352104 PMCID: PMC10861359 DOI: 10.7759/cureus.52227] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/13/2024] [Indexed: 02/16/2024] Open
Abstract
This paper reports on the unlikely case of a 68-year-old man presenting with a non-resolving, mild lower respiratory tract infection, subsequently diagnosed with pericardial tuberculosis (TB) in the absence of TB risk factors and with negative TB serology. Pericardial and pleural effusions were found incidentally on CT pulmonary angiogram, with a small pericardial effusion without tamponade seen on the echocardiogram. During his three-month inpatient stay, the patient was rarely very unwell, though no treatment led to clinical and biochemical resolution of symptoms. Later deterioration prompted another echocardiogram, which found a moderate-sized pericardial effusion, septal bounce, and new regional wall motion abnormalities. To avert the impending cardiac tamponade, the patient underwent pericardiectomy, which provided a tissue diagnosis of TB. Pericardial TB is extremely uncommon, especially outside of TB endemic regions, though it is well described. This case is especially noteworthy, as serology, bronchial washings, and pleural aspirate had been negative for TB though a Quantiferon test was positive. The diagnosis was only confirmed after pericardiectomy. The patient was subsequently treated with anti-TB therapy, with a good clinical response. This case highlights diagnostic challenges and strategies for investigating and managing similar complex scenarios, particularly in non-endemic settings.
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Affiliation(s)
- Philip Nolan
- Cardiology, Waikato Hospital, Hamilton, NZL
- Cardiology, University Hospital Galway, Galway, IRL
- Cardiology, University Hospital Limerick, Limerick, IRL
| | - Sanya Samad
- Internal Medicine, Waikato Hospital, Hamilton, NZL
- Internal Medicine, University Hospital Limerick, Limerick, IRL
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Abdelshafy M, Elkoumy A, Elzomor H, Abdelghani M, Campbell R, Kennedy C, Kenny Gibson W, Fezzi S, Nolan P, Wagener M, Arsang-Jang S, Mohamed SK, Mostafa M, Shawky I, MacNeill B, McInerney A, Mylotte D, Soliman O. Predictors of Conduction Disturbances Requiring New Permanent Pacemaker Implantation following Transcatheter Aortic Valve Implantation Using the Evolut Series. J Clin Med 2023; 12:4835. [PMID: 37510950 PMCID: PMC10381756 DOI: 10.3390/jcm12144835] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2023] [Revised: 07/06/2023] [Accepted: 07/19/2023] [Indexed: 07/30/2023] Open
Abstract
(1) Background: Conduction disturbance requiring a new permanent pacemaker (PPM) after transcatheter aortic valve implantation (TAVI) has traditionally been a common complication. New implantation techniques with self-expanding platforms have reportedly reduced the incidence of PPM. We sought to investigate the predictors of PPM at 30 days after TAVI using Evolut R/PRO/PRO+; (2) Methods: Consecutive patients who underwent TAVI with the Evolut platform between October 2019 and August 2022 at University Hospital Galway, Ireland, were included. Patients who had a prior PPM (n = 10), valve-in-valve procedures (n = 8) or received >1 valve during the index procedure (n = 3) were excluded. Baseline clinical, electrocardiographic (ECG), echocardiographic and multislice computed tomography (MSCT) parameters were analyzed. Pre-TAVI MSCT analysis included membranous septum (MS) length, a semi-quantitative calcification analysis of the aortic valve leaflets, left ventricular outflow tract, and mitral annulus. Furthermore, the implantation depth (ID) was measured from the final aortography. Multivariate binary logistic analysis and receiver operating characteristic (ROC) curve analysis were used to identify independent predictors and the optimal MS and ID cutoff values to predict new PPM requirements, respectively; (3) Results: A total of 129 TAVI patients were included (age = 81.3 ± 5.3 years; 36% female; median EuroSCORE II 3.2 [2.0, 5.4]). Fifteen patients (11.6%) required PPM after 30 days. The patients requiring new PPM at 30 days were more likely to have a lower European System for Cardiac Operative Risk Evaluation II, increased prevalence of right bundle branch block (RBBB) at baseline ECG, have a higher mitral annular calcification severity and have a shorter MS on preprocedural MSCT analysis, and have a ID, as shown on the final aortogram. From the multivariate analysis, pre-TAVI RBBB, MS length, and ID were shown to be predictors of new PPM. An MS length of <2.85 mm (AUC = 0.85, 95%CI: (0.77, 0.93)) and ID of >3.99 mm (area under the curve (AUC) = 0.79, (95% confidence interval (CI): (0.68, 0.90)) were found to be the optimal cut-offs for predicting new PPM requirements; (4) Conclusions: Membranous septum length and implantation depth were found to be independent predictors of new PPM post-TAVI with the Evolut platform. Patient-specific implantation depth could be used to mitigate the requirement for new PPM.
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Affiliation(s)
- Mahmoud Abdelshafy
- Discipline of Cardiology, Galway University Hospital, SAOLTA Healthcare Group, Health Service Executive, H91 YR71 Galway, Ireland; (M.A.); (A.E.); (H.E.); (R.C.); (C.K.); (W.K.G.); (S.F.); (P.N.); (M.W.); (B.M.); (A.M.)
- CORRIB Core Lab, University of Galway, H91 V4AY Galway, Ireland; (S.A.-J.); (S.K.M.)
- Department of Cardiology, Al-Azhar University, Cairo 11311, Egypt; (M.A.); (M.M.); (I.S.)
| | - Ahmed Elkoumy
- Discipline of Cardiology, Galway University Hospital, SAOLTA Healthcare Group, Health Service Executive, H91 YR71 Galway, Ireland; (M.A.); (A.E.); (H.E.); (R.C.); (C.K.); (W.K.G.); (S.F.); (P.N.); (M.W.); (B.M.); (A.M.)
- CORRIB Core Lab, University of Galway, H91 V4AY Galway, Ireland; (S.A.-J.); (S.K.M.)
- Islamic Center of Cardiology and Cardiac Surgery, Al-Azhar University, Cairo 11651, Egypt
| | - Hesham Elzomor
- Discipline of Cardiology, Galway University Hospital, SAOLTA Healthcare Group, Health Service Executive, H91 YR71 Galway, Ireland; (M.A.); (A.E.); (H.E.); (R.C.); (C.K.); (W.K.G.); (S.F.); (P.N.); (M.W.); (B.M.); (A.M.)
- CORRIB Core Lab, University of Galway, H91 V4AY Galway, Ireland; (S.A.-J.); (S.K.M.)
- Islamic Center of Cardiology and Cardiac Surgery, Al-Azhar University, Cairo 11651, Egypt
| | - Mohammad Abdelghani
- Department of Cardiology, Al-Azhar University, Cairo 11311, Egypt; (M.A.); (M.M.); (I.S.)
- Department of Cardiology, Amsterdam UMC, Amsterdam Cardiovascular Sciences, University of Amsterdam, 1081 HV Amsterdam, The Netherlands
| | - Ruth Campbell
- Discipline of Cardiology, Galway University Hospital, SAOLTA Healthcare Group, Health Service Executive, H91 YR71 Galway, Ireland; (M.A.); (A.E.); (H.E.); (R.C.); (C.K.); (W.K.G.); (S.F.); (P.N.); (M.W.); (B.M.); (A.M.)
| | - Ciara Kennedy
- Discipline of Cardiology, Galway University Hospital, SAOLTA Healthcare Group, Health Service Executive, H91 YR71 Galway, Ireland; (M.A.); (A.E.); (H.E.); (R.C.); (C.K.); (W.K.G.); (S.F.); (P.N.); (M.W.); (B.M.); (A.M.)
| | - William Kenny Gibson
- Discipline of Cardiology, Galway University Hospital, SAOLTA Healthcare Group, Health Service Executive, H91 YR71 Galway, Ireland; (M.A.); (A.E.); (H.E.); (R.C.); (C.K.); (W.K.G.); (S.F.); (P.N.); (M.W.); (B.M.); (A.M.)
| | - Simone Fezzi
- Discipline of Cardiology, Galway University Hospital, SAOLTA Healthcare Group, Health Service Executive, H91 YR71 Galway, Ireland; (M.A.); (A.E.); (H.E.); (R.C.); (C.K.); (W.K.G.); (S.F.); (P.N.); (M.W.); (B.M.); (A.M.)
| | - Philip Nolan
- Discipline of Cardiology, Galway University Hospital, SAOLTA Healthcare Group, Health Service Executive, H91 YR71 Galway, Ireland; (M.A.); (A.E.); (H.E.); (R.C.); (C.K.); (W.K.G.); (S.F.); (P.N.); (M.W.); (B.M.); (A.M.)
| | - Max Wagener
- Discipline of Cardiology, Galway University Hospital, SAOLTA Healthcare Group, Health Service Executive, H91 YR71 Galway, Ireland; (M.A.); (A.E.); (H.E.); (R.C.); (C.K.); (W.K.G.); (S.F.); (P.N.); (M.W.); (B.M.); (A.M.)
| | - Shahram Arsang-Jang
- CORRIB Core Lab, University of Galway, H91 V4AY Galway, Ireland; (S.A.-J.); (S.K.M.)
- Discipline of Medicine, Clinical Science Institute, University of Galway, H91 YR71 Galway, Ireland
| | - Sameh K. Mohamed
- CORRIB Core Lab, University of Galway, H91 V4AY Galway, Ireland; (S.A.-J.); (S.K.M.)
| | - Mansour Mostafa
- Department of Cardiology, Al-Azhar University, Cairo 11311, Egypt; (M.A.); (M.M.); (I.S.)
| | - Islam Shawky
- Department of Cardiology, Al-Azhar University, Cairo 11311, Egypt; (M.A.); (M.M.); (I.S.)
| | - Briain MacNeill
- Discipline of Cardiology, Galway University Hospital, SAOLTA Healthcare Group, Health Service Executive, H91 YR71 Galway, Ireland; (M.A.); (A.E.); (H.E.); (R.C.); (C.K.); (W.K.G.); (S.F.); (P.N.); (M.W.); (B.M.); (A.M.)
| | - Angela McInerney
- Discipline of Cardiology, Galway University Hospital, SAOLTA Healthcare Group, Health Service Executive, H91 YR71 Galway, Ireland; (M.A.); (A.E.); (H.E.); (R.C.); (C.K.); (W.K.G.); (S.F.); (P.N.); (M.W.); (B.M.); (A.M.)
| | - Darren Mylotte
- Discipline of Cardiology, Galway University Hospital, SAOLTA Healthcare Group, Health Service Executive, H91 YR71 Galway, Ireland; (M.A.); (A.E.); (H.E.); (R.C.); (C.K.); (W.K.G.); (S.F.); (P.N.); (M.W.); (B.M.); (A.M.)
- Discipline of Medicine, Clinical Science Institute, University of Galway, H91 YR71 Galway, Ireland
| | - Osama Soliman
- Discipline of Cardiology, Galway University Hospital, SAOLTA Healthcare Group, Health Service Executive, H91 YR71 Galway, Ireland; (M.A.); (A.E.); (H.E.); (R.C.); (C.K.); (W.K.G.); (S.F.); (P.N.); (M.W.); (B.M.); (A.M.)
- CORRIB Core Lab, University of Galway, H91 V4AY Galway, Ireland; (S.A.-J.); (S.K.M.)
- CÚRAM Centre for Medical Devices, H91 TK33 Galway, Ireland
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5
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McAloon CG, Wall P, Butler F, Codd M, Gormley E, Walsh C, Duggan J, Murphy TB, Nolan P, Smyth B, O'Brien K, Teljeur C, Green MJ, O'Grady L, Culhane K, Buckley C, Carroll C, Doyle S, Martin J, More SJ. Numbers of close contacts of individuals infected with SARS-CoV-2 and their association with government intervention strategies. BMC Public Health 2021; 21:2238. [PMID: 34886842 PMCID: PMC8655330 DOI: 10.1186/s12889-021-12318-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2021] [Accepted: 11/22/2021] [Indexed: 12/23/2022] Open
Abstract
Background Contact tracing is conducted with the primary purpose of interrupting transmission from individuals who are likely to be infectious to others. Secondary analyses of data on the numbers of close contacts of confirmed cases could also: provide an early signal of increases in contact patterns that might precede larger than expected case numbers; evaluate the impact of government interventions on the number of contacts of confirmed cases; or provide data information on contact rates between age cohorts for the purpose of epidemiological modelling. We analysed data from 140,204 close contacts of 39,861 cases in Ireland from 1st May to 1st December 2020. Results Negative binomial regression models highlighted greater numbers of contacts within specific population demographics, after correcting for temporal associations. Separate segmented regression models of the number of cases over time and the average number of contacts per case indicated that a breakpoint indicating a rapid decrease in the number of contacts per case in October 2020 preceded a breakpoint indicating a reduction in the number of cases by 11 days. Conclusions We found that the number of contacts per infected case was overdispersed, the mean varied considerable over time and was temporally associated with government interventions. Analysis of the reported number of contacts per individual in contact tracing data may be a useful early indicator of changes in behaviour in response to, or indeed despite, government restrictions. This study provides useful information for triangulating assumptions regarding the contact mixing rates between different age cohorts for epidemiological modelling. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-021-12318-y.
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Affiliation(s)
- Conor G McAloon
- School of Veterinary Medicine, University College Dublin, Belfield, Dublin 4, Ireland.
| | - Patrick Wall
- School of Public Health, Physiotherapy and Sports Science, University College Dublin, Belfield, Dublin 4, Ireland
| | - Francis Butler
- School of Biosystems and Food Engineering, University College Dublin, Belfield, Dublin 4, Ireland
| | - Mary Codd
- School of Public Health, Physiotherapy and Sports Science, University College Dublin, Belfield, Dublin 4, Ireland
| | - Eamonn Gormley
- School of Veterinary Medicine, University College Dublin, Belfield, Dublin 4, Ireland
| | - Cathal Walsh
- Department of Mathematics and Statistics, University of Limerick, Limerick, Ireland
| | - Jim Duggan
- School of Computer Science, National University of Ireland Galway, Galway, Ireland
| | - T Brendan Murphy
- School of Mathematics and Statistics, University College Dublin, Belfield, Dublin 4, Ireland
| | - Philip Nolan
- National University of Ireland Maynooth, Kildare, Ireland
| | - Breda Smyth
- Department of Public Health, Health Service Executive West, Galway, Ireland
| | | | - Conor Teljeur
- Health Information and Quality Authority, George's Court, Dublin 7, Ireland
| | - Martin J Green
- School of Veterinary Medicine and Science, University of Nottingham, Nottingham, UK
| | - Luke O'Grady
- School of Veterinary Medicine, University College Dublin, Belfield, Dublin 4, Ireland.,School of Veterinary Medicine and Science, University of Nottingham, Nottingham, UK
| | - Kieran Culhane
- Central Statistics Office, Ardee road, Rathmines, Dublin, Ireland
| | - Claire Buckley
- COVID-19 Contact Management Programme, Health Service Executive, Dublin, Ireland
| | - Ciara Carroll
- COVID-19 Contact Management Programme, Health Service Executive, Dublin, Ireland
| | - Sarah Doyle
- COVID-19 Contact Management Programme, Health Service Executive, Dublin, Ireland
| | - Jennifer Martin
- COVID-19 Contact Management Programme, Health Service Executive, Dublin, Ireland
| | - Simon J More
- School of Veterinary Medicine, University College Dublin, Belfield, Dublin 4, Ireland.,Centre for Veterinary Epidemiology and Risk Analysis, School of Veterinary Medicine, University College Dublin, Belfield, Dublin, Ireland
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6
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McAloon CG, Wall P, Griffin J, Casey M, Barber A, Codd M, Gormley E, Butler F, McV Messam LL, Walsh C, Teljeur C, Smyth B, Nolan P, Green MJ, O'Grady L, Culhane K, Buckley C, Carroll C, Doyle S, Martin J, More SJ. Estimation of the serial interval and proportion of pre-symptomatic transmission events of COVID- 19 in Ireland using contact tracing data. BMC Public Health 2021; 21:805. [PMID: 33906635 PMCID: PMC8076671 DOI: 10.1186/s12889-021-10868-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Accepted: 04/16/2021] [Indexed: 12/02/2022] Open
Abstract
BACKGROUND The serial interval is the period of time between the onset of symptoms in an infector and an infectee and is an important parameter which can impact on the estimation of the reproduction number. Whilst several parameters influencing infection transmission are expected to be consistent across populations, the serial interval can vary across and within populations over time. Therefore, local estimates are preferable for use in epidemiological models developed at a regional level. We used data collected as part of the national contact tracing process in Ireland to estimate the serial interval of SARS-CoV-2 infection in the Irish population, and to estimate the proportion of transmission events that occurred prior to the onset of symptoms. RESULTS After data cleaning, the final dataset consisted of 471 infected close contacts from 471 primary cases. The median serial interval was 4 days, mean serial interval was 4.0 (95% confidence intervals 3.7, 4.3) days, whilst the 25th and 75th percentiles were 2 and 6 days respectively. We found that intervals were lower when the primary or secondary case were in the older age cohort (greater than 64 years). Simulating from an incubation period distribution from international literature, we estimated that 67% of transmission events had greater than 50% probability of occurring prior to the onset of symptoms in the infector. CONCLUSIONS Whilst our analysis was based on a large sample size, data were collected for the primary purpose of interrupting transmission chains. Similar to other studies estimating the serial interval, our analysis is restricted to transmission pairs where the infector is known with some degree of certainty. Such pairs may represent more intense contacts with infected individuals than might occur in the overall population. It is therefore possible that our analysis is biased towards shorter serial intervals than the overall population.
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Affiliation(s)
- Conor G McAloon
- School of Veterinary Medicine, University College Dublin, Belfield, Dublin 4, Ireland.
| | - Patrick Wall
- School of Public Health, Physiotherapy and Sports Science, University College Dublin, Belfield, Dublin 4, Ireland
| | - John Griffin
- Centre for Veterinary Epidemiology and Risk Analysis, School of Veterinary Medicine, University College Dublin, Belfield, Dublin, Ireland
| | - Miriam Casey
- Centre for Veterinary Epidemiology and Risk Analysis, School of Veterinary Medicine, University College Dublin, Belfield, Dublin, Ireland
| | - Ann Barber
- Centre for Veterinary Epidemiology and Risk Analysis, School of Veterinary Medicine, University College Dublin, Belfield, Dublin, Ireland
| | - Mary Codd
- School of Public Health, Physiotherapy and Sports Science, University College Dublin, Belfield, Dublin 4, Ireland
| | - Eamonn Gormley
- School of Veterinary Medicine, University College Dublin, Belfield, Dublin 4, Ireland
| | - Francis Butler
- School of Biosystems and Food Engineering, University College Dublin, Belfield, Dublin 4, Ireland
| | - Locksley L McV Messam
- School of Veterinary Medicine, University College Dublin, Belfield, Dublin 4, Ireland
| | - Cathal Walsh
- Department of Mathematics and Statistics, University of Limerick, Limerick, Ireland
| | - Conor Teljeur
- Health Information and Quality Authority, George's Court, Dublin 7, Ireland
| | - Breda Smyth
- Department of Public Health, Health Service Executive West, Galway, Ireland
| | - Philip Nolan
- National University of Ireland Maynooth, Kildare, Ireland
| | - Martin J Green
- School of Veterinary Medicine and Science, University of Nottingham, Nottingham, UK
| | - Luke O'Grady
- School of Veterinary Medicine, University College Dublin, Belfield, Dublin 4, Ireland
- School of Veterinary Medicine and Science, University of Nottingham, Nottingham, UK
| | - Kieran Culhane
- Central Statistics Office, Ardee Road, Rathmines, Dublin, Ireland
| | - Claire Buckley
- COVID-19 Contact Management Programme, Health Service Executive, Dublin, Ireland
- School of Public Health, University College Cork, Cork, Ireland
| | - Ciara Carroll
- COVID-19 Contact Management Programme, Health Service Executive, Dublin, Ireland
| | - Sarah Doyle
- COVID-19 Contact Management Programme, Health Service Executive, Dublin, Ireland
| | - Jennifer Martin
- COVID-19 Contact Management Programme, Health Service Executive, Dublin, Ireland
| | - Simon J More
- School of Veterinary Medicine, University College Dublin, Belfield, Dublin 4, Ireland
- Centre for Veterinary Epidemiology and Risk Analysis, School of Veterinary Medicine, University College Dublin, Belfield, Dublin, Ireland
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7
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Abstract
This case report summarises the case of a 56-year-old man with low-flow, ischaemic priapism requiring urgent insertion of a penile prosthesis following prophylactic anticoagulation with tinzaparin. Low-molecular-weight heparin (LMWH) has been proposed as a cause of ischaemic priapism, although reported cases of this are rare. This particular side effect of tinzaparin has been reported once in a case report in 2018, and there are scant other reports of LMWH-induced priapism. This case was refractory to the full treatment algorithm, including multiple aspirations, phenylephrine injection, cavernosal shunt and required transfer for implantation of a penile prosthesis. Only one other case of such a severe case of priapism has been documented, involving LMWH and warfarin. Documented evidence of possible causes of priapism are vital, given the rarity of this condition, the frequency of LMWH and the potentially devastating complications.
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Affiliation(s)
| | - Philip Nolan
- Urology, Galway Clinic, Galway, Ireland.,Urology, Galway University Hospitals, Galway, Ireland
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8
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Levin C, Baker J, Nolan P, Coffey A. A Survey of Medication-Related Osteonecrosis of the Jaw Reporting and Risk Assessment by Oral and Maxillofacial Surgeons. J Oral Maxillofac Surg 2020. [DOI: 10.1016/j.joms.2020.07.179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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9
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Nolan P, Auer S, Spehar A, Oplatowska-Stachowiak M, Campbell K. Evaluation of Mass Sensitive Micro-Array biosensors for their feasibility in multiplex detection of low molecular weight toxins using mycotoxins as model compounds. Talanta 2020; 222:121521. [PMID: 33167231 DOI: 10.1016/j.talanta.2020.121521] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2020] [Revised: 08/03/2020] [Accepted: 08/05/2020] [Indexed: 12/22/2022]
Abstract
Mycotoxins produced by Fusarium species including trichothecenes, zearalenone and fumonisins, can co-contaminate food and feed throughout the supply chain, including cereal grains and animal feeds. There is an increasing demand to enhance global food security by improving the monitoring of mycotoxins throughout our food supply chain. For time and cost-efficient analysis, rapid tests capable of detecting multiple toxins from a single sample are ideal. Considering these current trends in mycotoxin testing, this project examined the feasibility of using both a portable and non-portable mass-based biosensor for multiplex mycotoxin detection. The biosensor was a mass sensitive microarray (MSMA) which consisted of 4 × 16 miniaturized mass sensitive transducer pixels based on solidly mounted resonator (SMR) technology. Functionalisation of individual pixels on the sensor surface using nano-spotting technology for the simultaneous and semi-quantitative detection of three regulated mycotoxins: T2-toxin (T2) zearalenone (ZEN), and fumonisin B1 (FumB1) was examined. With the integration of portable and non-portable microfluidic devices for antibody and standard sample injections, competitive inhibition assays were developed followed by singleplex and multiplex calibration curves. The characteristics and performance of the MSMA were evaluated including sensitivity which was determined as the concentration causing 50% inhibition. Sensitivity of singleplex assays using the portable microfluidic device (PMD) were 1.3 ng/ml, 2.0 ng/ml and 6.8 ng/ml for T2, FumB1 and ZEN, respectively. Sensitivity of the multiplex assay again using the PMD was 6.1 ng/ml, 3.6 ng/ml and 2.4 ng/ml for T2, FumB1 and ZEN, respectively. The PMD was an easy to use and highly sensitive screening tool which has been demonstrated for the multiplex detection of three regulated mycotoxins. Analysis was in real time and results were fully digital. Since detection of analytes was by mass it was both a label-free and cost-efficient method proposed method of analysis for mycotoxins.
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Affiliation(s)
- P Nolan
- Institute for Global Food Security, School of Biological Sciences, Queen's University Belfast, 19 Chlorine Gardens, Belfast, UK, BT9 5DL
| | - S Auer
- BioMensio Limited, Hermiankatu 6-8H, 33720, Tampere, Finland
| | - A Spehar
- BioMensio Limited, Hermiankatu 6-8H, 33720, Tampere, Finland
| | - M Oplatowska-Stachowiak
- Institute for Global Food Security, School of Biological Sciences, Queen's University Belfast, 19 Chlorine Gardens, Belfast, UK, BT9 5DL
| | - K Campbell
- Institute for Global Food Security, School of Biological Sciences, Queen's University Belfast, 19 Chlorine Gardens, Belfast, UK, BT9 5DL.
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10
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Nelis JLD, Tsagkaris AS, Zhao Y, Lou-Franco J, Nolan P, Zhou H, Cao C, Rafferty K, Hajslova J, Elliott CT, Campbell K. The end user sensor tree: An end-user friendly sensor database. Biosens Bioelectron 2019; 130:245-253. [PMID: 30769289 DOI: 10.1016/j.bios.2019.01.055] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2018] [Revised: 01/21/2019] [Accepted: 01/22/2019] [Indexed: 11/18/2022]
Abstract
Detailed knowledge regarding sensor based technologies for the detection of food contamination often remains concealed within scientific journals or divided between numerous commercial kits which prevents optimal connectivity between companies and end-users. To overcome this barrier The End user Sensor Tree (TEST) has been developed. TEST is a comprehensive, interactive platform including over 900 sensor based methods, retrieved from the scientific literature and commercial market, for aquatic-toxins, mycotoxins, pesticides and microorganism detection. Key analytical parameters are recorded in excel files while a novel classification system is used which provides, tailor-made, experts' feedback using an online decision tree and database introduced here. Additionally, a critical comparison of reviewed sensors is presented alongside a global perspective on research pioneers and commercially available products. The lack of commercial uptake of the academically popular electrochemical and nanomaterial based sensors, as well as multiplexing platforms became very apparent and reasons for this anomaly are discussed.
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Affiliation(s)
- J L D Nelis
- Institute for Global Food Security, School of Biological Sciences, Queen's University, David Keir Building, Stranmillis Road, Belfast BT9 5AG, UK
| | - A S Tsagkaris
- Department of Food Analysis and Nutrition, Faculty of Food and Biochemical Technology, University of Chemistry and Technology Prague, Technická 5, 166 28 Prague 6 - Dejvice, Prague, Czech Republic
| | - Y Zhao
- Institute for Global Food Security, School of Biological Sciences, Queen's University, David Keir Building, Stranmillis Road, Belfast BT9 5AG, UK; School of Electronics, Electrical Engineering and Computer Science, Queen's University Belfast, Stranmillis Road, Belfast, UK
| | - J Lou-Franco
- Institute for Global Food Security, School of Biological Sciences, Queen's University, David Keir Building, Stranmillis Road, Belfast BT9 5AG, UK
| | - P Nolan
- Institute for Global Food Security, School of Biological Sciences, Queen's University, David Keir Building, Stranmillis Road, Belfast BT9 5AG, UK
| | - H Zhou
- School of Electronics, Electrical Engineering and Computer Science, Queen's University Belfast, Stranmillis Road, Belfast, UK; Department of Informatics, University of Leicester, University Road, Leicester LE1 7RH, UK
| | - C Cao
- Institute for Global Food Security, School of Biological Sciences, Queen's University, David Keir Building, Stranmillis Road, Belfast BT9 5AG, UK
| | - K Rafferty
- School of Electronics, Electrical Engineering and Computer Science, Queen's University Belfast, Stranmillis Road, Belfast, UK
| | - J Hajslova
- Department of Food Analysis and Nutrition, Faculty of Food and Biochemical Technology, University of Chemistry and Technology Prague, Technická 5, 166 28 Prague 6 - Dejvice, Prague, Czech Republic
| | - C T Elliott
- Institute for Global Food Security, School of Biological Sciences, Queen's University, David Keir Building, Stranmillis Road, Belfast BT9 5AG, UK
| | - K Campbell
- Institute for Global Food Security, School of Biological Sciences, Queen's University, David Keir Building, Stranmillis Road, Belfast BT9 5AG, UK.
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11
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Wonggom P, Du H, Nolan P, Burdeniuk C, Kelman S, Barry T, Nesbitt K, Clark R. Development of an Avatar-Based Education Application for Improving Knowledge and Self-Care behaviours in Heart Failure: A Feasibility Study. Heart Lung Circ 2019. [DOI: 10.1016/j.hlc.2019.06.483] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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12
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Naughton O, Donnelly A, Nolan P, Pilla F, Misstear BD, Broderick B. A land use regression model for explaining spatial variation in air pollution levels using a wind sector based approach. Sci Total Environ 2018; 630:1324-1334. [PMID: 29554752 DOI: 10.1016/j.scitotenv.2018.02.317] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/29/2017] [Revised: 02/16/2018] [Accepted: 02/27/2018] [Indexed: 06/08/2023]
Abstract
Estimating pollutant concentrations at a local and regional scale is essential in environmental and health policy decision making. Here we present a novel land use regression (LUR) modelling methodology that exploits the high temporal resolution of fixed-site monitoring (FSM) to produce a national-scale air quality model for the key pollutant NO2. The methodology partitions concentration time series from a national FSM network into wind-dependent sectors or "wedges". A LUR model is derived using predictor variables calculated within the directional wind sectors, and compared against the long-term average concentrations within each sector. Validation results, based on 15 FSM training sites, show that the model captured 78% of the spatial variability in NO2 across the Republic of Ireland. This compares favourably to traditional LUR models based on purpose-designed monitoring campaigns despite using approximately half the number of monitoring points. Results also demonstrate the value of incorporating the relative position of emission source and receptor into the empirical LUR model structure. We applied the model at a high-resolution across the Republic of Ireland to enable applications such as the study of environmental exposure and human health, assessing representativeness of air quality monitoring networks and informing environmental management and policy makers. While the study focuses on Ireland, the methodology also has potential applicability for other criteria pollutants where appropriate FSM and meteorological networks exist.
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Affiliation(s)
- O Naughton
- Department of Civil, Structural and Environmental Engineering, University of Dublin Trinity College, Dublin 2, Ireland.
| | - A Donnelly
- Department of Civil, Structural and Environmental Engineering, University of Dublin Trinity College, Dublin 2, Ireland
| | - P Nolan
- Irish Centre for High-End Computing (ICHEC), National University of Ireland Galway, Ireland; Met Éireann, Research and Applications Division, Dublin, Ireland
| | - F Pilla
- School of Architecture, Planning and Environmental Policy, University College Dublin
| | - B D Misstear
- Department of Civil, Structural and Environmental Engineering, University of Dublin Trinity College, Dublin 2, Ireland
| | - B Broderick
- Department of Civil, Structural and Environmental Engineering, University of Dublin Trinity College, Dublin 2, Ireland
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13
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Ahmadi M, Alves BXR, Baker CJ, Bertsche W, Butler E, Capra A, Carruth C, Cesar CL, Charlton M, Cohen S, Collister R, Eriksson S, Evans A, Evetts N, Fajans J, Friesen T, Fujiwara MC, Gill DR, Gutierrez A, Hangst JS, Hardy WN, Hayden ME, Isaac CA, Ishida A, Johnson MA, Jones SA, Jonsell S, Kurchaninov L, Madsen N, Mathers M, Maxwell D, McKenna JTK, Menary S, Michan JM, Momose T, Munich JJ, Nolan P, Olchanski K, Olin A, Pusa P, Rasmussen CØ, Robicheaux F, Sacramento RL, Sameed M, Sarid E, Silveira DM, Stracka S, Stutter G, So C, Tharp TD, Thompson JE, Thompson RI, van der Werf DP, Wurtele JS. Erratum: Observation of the hyperfine spectrum of antihydrogen. Nature 2018; 553:530. [PMID: 29258296 DOI: 10.1038/nature24663] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
This corrects the article DOI: 10.1038/nature23446.
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14
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Ahmadi M, Alves BXR, Baker CJ, Bertsche W, Butler E, Capra A, Carruth C, Cesar CL, Charlton M, Cohen S, Collister R, Eriksson S, Evans A, Evetts N, Fajans J, Friesen T, Fujiwara MC, Gill DR, Gutierrez A, Hangst JS, Hardy WN, Hayden ME, Isaac CA, Ishida A, Johnson MA, Jones SA, Jonsell S, Kurchaninov L, Madsen N, Mathers M, Maxwell D, McKenna JTK, Menary S, Michan JM, Momose T, Munich JJ, Nolan P, Olchanski K, Olin A, Pusa P, Rasmussen CØ, Robicheaux F, Sacramento RL, Sameed M, Sarid E, Silveira DM, Stracka S, Stutter G, So C, Tharp TD, Thompson JE, Thompson RI, van der Werf DP, Wurtele JS. Observation of the hyperfine spectrum of antihydrogen. Nature 2017; 548:66-69. [PMID: 28770838 DOI: 10.1038/nature23446] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2017] [Accepted: 06/30/2017] [Indexed: 11/09/2022]
Abstract
The observation of hyperfine structure in atomic hydrogen by Rabi and co-workers and the measurement of the zero-field ground-state splitting at the level of seven parts in 1013 are important achievements of mid-twentieth-century physics. The work that led to these achievements also provided the first evidence for the anomalous magnetic moment of the electron, inspired Schwinger's relativistic theory of quantum electrodynamics and gave rise to the hydrogen maser, which is a critical component of modern navigation, geo-positioning and very-long-baseline interferometry systems. Research at the Antiproton Decelerator at CERN by the ALPHA collaboration extends these enquiries into the antimatter sector. Recently, tools have been developed that enable studies of the hyperfine structure of antihydrogen-the antimatter counterpart of hydrogen. The goal of such studies is to search for any differences that might exist between this archetypal pair of atoms, and thereby to test the fundamental principles on which quantum field theory is constructed. Magnetic trapping of antihydrogen atoms provides a means of studying them by combining electromagnetic interaction with detection techniques that are unique to antimatter. Here we report the results of a microwave spectroscopy experiment in which we probe the response of antihydrogen over a controlled range of frequencies. The data reveal clear and distinct signatures of two allowed transitions, from which we obtain a direct, magnetic-field-independent measurement of the hyperfine splitting. From a set of trials involving 194 detected atoms, we determine a splitting of 1,420.4 ± 0.5 megahertz, consistent with expectations for atomic hydrogen at the level of four parts in 104. This observation of the detailed behaviour of a quantum transition in an atom of antihydrogen exemplifies tests of fundamental symmetries such as charge-parity-time in antimatter, and the techniques developed here will enable more-precise such tests.
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Affiliation(s)
- M Ahmadi
- Department of Physics, University of Liverpool, Liverpool L69 7ZE, UK
| | - B X R Alves
- Department of Physics and Astronomy, Aarhus University, DK-8000 Aarhus C, Denmark
| | - C J Baker
- Department of Physics, College of Science, Swansea University, Swansea SA2 8PP, UK
| | - W Bertsche
- School of Physics and Astronomy, University of Manchester, Manchester M12 9PL, UK.,Cockcroft Institute, Sci-Tech Daresbury, Warrington WA4 4AD, UK
| | - E Butler
- Physics Department, CERN, CH-1211 Geneve 23, Switzerland
| | - A Capra
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia V6T 2A3, Canada
| | - C Carruth
- Department of Physics, University of California at Berkeley, Berkeley, California 94720-7300, USA
| | - C L Cesar
- Instituto de Fisica, Universidade Federal do Rio de Janeiro, Rio de Janeiro 21941-972, Brazil
| | - M Charlton
- Department of Physics, College of Science, Swansea University, Swansea SA2 8PP, UK
| | - S Cohen
- Department of Physics, Ben-Gurion University of the Negev, Beer-Sheva 84105, Israel
| | - R Collister
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia V6T 2A3, Canada
| | - S Eriksson
- Department of Physics, College of Science, Swansea University, Swansea SA2 8PP, UK
| | - A Evans
- Department of Physics and Astronomy, University of Calgary, Calgary, Alberta T2N 1N4, Canada
| | - N Evetts
- Department of Physics and Astronomy, University of British Columbia, Vancouver, British Columbia V6T 1Z1, Canada
| | - J Fajans
- Department of Physics, University of California at Berkeley, Berkeley, California 94720-7300, USA
| | - T Friesen
- Department of Physics and Astronomy, Aarhus University, DK-8000 Aarhus C, Denmark
| | - M C Fujiwara
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia V6T 2A3, Canada
| | - D R Gill
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia V6T 2A3, Canada
| | - A Gutierrez
- Department of Physics and Astronomy, University of British Columbia, Vancouver, British Columbia V6T 1Z1, Canada.,Department of Medical Physics and Biomedical Engineering, University College London, London WC1E 6BT, UK
| | - J S Hangst
- Department of Physics and Astronomy, Aarhus University, DK-8000 Aarhus C, Denmark
| | - W N Hardy
- Department of Physics and Astronomy, University of British Columbia, Vancouver, British Columbia V6T 1Z1, Canada
| | - M E Hayden
- Department of Physics, Simon Fraser University, Burnaby, British Columbia V5A 1S6, Canada
| | - C A Isaac
- Department of Physics, College of Science, Swansea University, Swansea SA2 8PP, UK
| | - A Ishida
- Department of Physics, The University of Tokyo, 7-3-1 Hongo, Bunkyo, Tokyo 113-0033, Japan
| | - M A Johnson
- School of Physics and Astronomy, University of Manchester, Manchester M12 9PL, UK.,Cockcroft Institute, Sci-Tech Daresbury, Warrington WA4 4AD, UK
| | - S A Jones
- Department of Physics, College of Science, Swansea University, Swansea SA2 8PP, UK
| | - S Jonsell
- Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
| | - L Kurchaninov
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia V6T 2A3, Canada
| | - N Madsen
- Department of Physics, College of Science, Swansea University, Swansea SA2 8PP, UK
| | - M Mathers
- Department of Physics and Astronomy, York University, Toronto, Ontario M3J 1P3, Canada
| | - D Maxwell
- Department of Physics, College of Science, Swansea University, Swansea SA2 8PP, UK
| | - J T K McKenna
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia V6T 2A3, Canada
| | - S Menary
- Department of Physics and Astronomy, York University, Toronto, Ontario M3J 1P3, Canada
| | - J M Michan
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia V6T 2A3, Canada.,École Polytechnique Fédérale de Lausanne (EPFL), Swiss Plasma Center (SPC), Lausanne CH-1015, Switzerland
| | - T Momose
- Department of Physics and Astronomy, University of British Columbia, Vancouver, British Columbia V6T 1Z1, Canada
| | - J J Munich
- Department of Physics, Simon Fraser University, Burnaby, British Columbia V5A 1S6, Canada
| | - P Nolan
- Department of Physics, University of Liverpool, Liverpool L69 7ZE, UK
| | - K Olchanski
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia V6T 2A3, Canada
| | - A Olin
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia V6T 2A3, Canada.,Department of Physics and Astronomy, University of Victoria, Victoria, British Columbia V8P 5C2, Canada
| | - P Pusa
- Department of Physics, University of Liverpool, Liverpool L69 7ZE, UK
| | - C Ø Rasmussen
- Department of Physics and Astronomy, Aarhus University, DK-8000 Aarhus C, Denmark
| | - F Robicheaux
- Department of Physics and Astronomy, Purdue University, West Lafayette, Indiana 47907, USA
| | - R L Sacramento
- Instituto de Fisica, Universidade Federal do Rio de Janeiro, Rio de Janeiro 21941-972, Brazil
| | - M Sameed
- Department of Physics, College of Science, Swansea University, Swansea SA2 8PP, UK
| | - E Sarid
- Soreq NRC, Yavne 81800, Israel
| | - D M Silveira
- Instituto de Fisica, Universidade Federal do Rio de Janeiro, Rio de Janeiro 21941-972, Brazil
| | - S Stracka
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia V6T 2A3, Canada.,Universita di Pisa and Sezione INFN di Pisa, Largo Pontecorvo 3, 56127 Pisa, Italy
| | - G Stutter
- Department of Physics and Astronomy, Aarhus University, DK-8000 Aarhus C, Denmark
| | - C So
- Department of Physics and Astronomy, University of Calgary, Calgary, Alberta T2N 1N4, Canada
| | - T D Tharp
- Physics Department, Marquette University, PO Box 1881, Milwaukee, Wisconsin 53201-1881, USA
| | - J E Thompson
- Department of Physics and Astronomy, York University, Toronto, Ontario M3J 1P3, Canada
| | - R I Thompson
- Department of Physics and Astronomy, University of Calgary, Calgary, Alberta T2N 1N4, Canada
| | - D P van der Werf
- Department of Physics, College of Science, Swansea University, Swansea SA2 8PP, UK.,IRFU, CEA/Saclay, F-91191, Gif-sur-Yvette Cedex, France
| | - J S Wurtele
- Department of Physics, University of California at Berkeley, Berkeley, California 94720-7300, USA
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15
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Ahmadi M, Alves BXR, Baker CJ, Bertsche W, Butler E, Capra A, Carruth C, Cesar CL, Charlton M, Cohen S, Collister R, Eriksson S, Evans A, Evetts N, Fajans J, Friesen T, Fujiwara MC, Gill DR, Gutierrez A, Hangst JS, Hardy WN, Hayden ME, Isaac CA, Ishida A, Johnson MA, Jones SA, Jonsell S, Kurchaninov L, Madsen N, Mathers M, Maxwell D, McKenna JTK, Menary S, Michan JM, Momose T, Munich JJ, Nolan P, Olchanski K, Olin A, Pusa P, Rasmussen CØ, Robicheaux F, Sacramento RL, Sameed M, Sarid E, Silveira DM, Stracka S, Stutter G, So C, Tharp TD, Thompson JE, Thompson RI, van der Werf DP, Wurtele JS. Antihydrogen accumulation for fundamental symmetry tests. Nat Commun 2017; 8:681. [PMID: 28947794 PMCID: PMC5613003 DOI: 10.1038/s41467-017-00760-9] [Citation(s) in RCA: 47] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2017] [Accepted: 07/20/2017] [Indexed: 11/18/2022] Open
Abstract
Antihydrogen, a positron bound to an antiproton, is the simplest anti-atom. Its structure and properties are expected to mirror those of the hydrogen atom. Prospects for precision comparisons of the two, as tests of fundamental symmetries, are driving a vibrant programme of research. In this regard, a limiting factor in most experiments is the availability of large numbers of cold ground state antihydrogen atoms. Here, we describe how an improved synthesis process results in a maximum rate of 10.5 ± 0.6 atoms trapped and detected per cycle, corresponding to more than an order of magnitude improvement over previous work. Additionally, we demonstrate how detailed control of electron, positron and antiproton plasmas enables repeated formation and trapping of antihydrogen atoms, with the simultaneous retention of atoms produced in previous cycles. We report a record of 54 detected annihilation events from a single release of the trapped anti-atoms accumulated from five consecutive cycles. Antihydrogen studies are important in testing the fundamental principles of physics but producing antihydrogen in large amounts is challenging. Here the authors demonstrate an efficient and high-precision method for trapping and stacking antihydrogen by using controlled plasma.
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Affiliation(s)
- M Ahmadi
- Department of Physics, University of Liverpool, Liverpool, L69 7ZE, UK
| | - B X R Alves
- Department of Physics and Astronomy, Aarhus University, DK-8000, Aarhus C, Denmark
| | - C J Baker
- Department of Physics, College of Science, Swansea University, Swansea, SA2 8PP, UK
| | - W Bertsche
- School of Physics and Astronomy, University of Manchester, Manchester, M12 9PL, UK.,Cockcroft Institute, Sci-Tech Daresbury, Warrington, WA4 4AD, UK
| | - E Butler
- Physics Department, CERN, CH-1211, Geneve 23, Switzerland
| | - A Capra
- TRIUMF, 4004 Wesbrook Mall, Vancouver, BC, Canada, V6T 2A3
| | - C Carruth
- Department of Physics, University of California at Berkeley, Berkeley, CA, 94720-7300, USA
| | - C L Cesar
- Instituto de Fisica, Universidade Federal do Rio de Janeiro, Rio de Janeiro, 21941-972, Brazil
| | - M Charlton
- Department of Physics, College of Science, Swansea University, Swansea, SA2 8PP, UK
| | - S Cohen
- Department of Physics, Ben-Gurion University of the Negev, Beer-Sheva, 84105, Israel
| | - R Collister
- TRIUMF, 4004 Wesbrook Mall, Vancouver, BC, Canada, V6T 2A3
| | - S Eriksson
- Department of Physics, College of Science, Swansea University, Swansea, SA2 8PP, UK
| | - A Evans
- Department of Physics and Astronomy, University of Calgary, Calgary, AB, Canada, T2N 1N4
| | - N Evetts
- Department of Physics and Astronomy, University of British Columbia, Vancouver, BC, Canada, V6T 1Z1
| | - J Fajans
- Department of Physics, University of California at Berkeley, Berkeley, CA, 94720-7300, USA
| | - T Friesen
- Department of Physics and Astronomy, Aarhus University, DK-8000, Aarhus C, Denmark.
| | - M C Fujiwara
- TRIUMF, 4004 Wesbrook Mall, Vancouver, BC, Canada, V6T 2A3
| | - D R Gill
- TRIUMF, 4004 Wesbrook Mall, Vancouver, BC, Canada, V6T 2A3
| | - A Gutierrez
- Department of Medical Physics and Biomedical Engineering, University College London, London, WC1E 6BT, UK
| | - J S Hangst
- Department of Physics and Astronomy, Aarhus University, DK-8000, Aarhus C, Denmark
| | - W N Hardy
- Department of Physics and Astronomy, University of British Columbia, Vancouver, BC, Canada, V6T 1Z1
| | - M E Hayden
- Department of Physics, Simon Fraser University, Burnaby, BC, Canada, V5A 1S6
| | - C A Isaac
- Department of Physics, College of Science, Swansea University, Swansea, SA2 8PP, UK
| | - A Ishida
- Department of Physics, The University of Tokyo, 7-3-1 Hongo, Tokyo, 113-0033, Japan
| | - M A Johnson
- School of Physics and Astronomy, University of Manchester, Manchester, M12 9PL, UK.,Cockcroft Institute, Sci-Tech Daresbury, Warrington, WA4 4AD, UK
| | - S A Jones
- Department of Physics, College of Science, Swansea University, Swansea, SA2 8PP, UK
| | - S Jonsell
- Department of Physics, Stockholm University, SE-10691, Stockholm, Sweden
| | - L Kurchaninov
- TRIUMF, 4004 Wesbrook Mall, Vancouver, BC, Canada, V6T 2A3
| | - N Madsen
- Department of Physics, College of Science, Swansea University, Swansea, SA2 8PP, UK.
| | - M Mathers
- Department of Physics and Astronomy, York University, Toronto, ON, Canada, M3J 1P3
| | - D Maxwell
- Department of Physics, College of Science, Swansea University, Swansea, SA2 8PP, UK
| | - J T K McKenna
- TRIUMF, 4004 Wesbrook Mall, Vancouver, BC, Canada, V6T 2A3
| | - S Menary
- Department of Physics and Astronomy, York University, Toronto, ON, Canada, M3J 1P3
| | - J M Michan
- TRIUMF, 4004 Wesbrook Mall, Vancouver, BC, Canada, V6T 2A3.,École Polytechnique Fédérale de Lausanne (EPFL), Swiss Plasma Center (SPC), CH-1015, Lausanne, Switzerland
| | - T Momose
- Department of Physics and Astronomy, University of British Columbia, Vancouver, BC, Canada, V6T 1Z1
| | - J J Munich
- Department of Physics, Simon Fraser University, Burnaby, BC, Canada, V5A 1S6
| | - P Nolan
- Department of Physics, University of Liverpool, Liverpool, L69 7ZE, UK
| | - K Olchanski
- TRIUMF, 4004 Wesbrook Mall, Vancouver, BC, Canada, V6T 2A3
| | - A Olin
- TRIUMF, 4004 Wesbrook Mall, Vancouver, BC, Canada, V6T 2A3.,Department of Physics and Astronomy, University of Victoria, Victoria, BC, Canada, V8P 5C2
| | - P Pusa
- Department of Physics, University of Liverpool, Liverpool, L69 7ZE, UK
| | - C Ø Rasmussen
- Department of Physics and Astronomy, Aarhus University, DK-8000, Aarhus C, Denmark
| | - F Robicheaux
- Department of Physics and Astronomy, Purdue University, West Lafayette, IN, 47907, USA
| | - R L Sacramento
- Instituto de Fisica, Universidade Federal do Rio de Janeiro, Rio de Janeiro, 21941-972, Brazil
| | - M Sameed
- Department of Physics, College of Science, Swansea University, Swansea, SA2 8PP, UK
| | - E Sarid
- Soreq NRC, Yavne, 81800, Israel
| | - D M Silveira
- Instituto de Fisica, Universidade Federal do Rio de Janeiro, Rio de Janeiro, 21941-972, Brazil
| | - S Stracka
- Universita di Pisa and Sezione INFN di Pisa, Largo Pontecorvo 3, 56127, Pisa, Italy
| | - G Stutter
- Department of Physics and Astronomy, Aarhus University, DK-8000, Aarhus C, Denmark
| | - C So
- Department of Physics and Astronomy, University of Calgary, Calgary, AB, Canada, T2N 1N4
| | - T D Tharp
- Physics Department, Marquette University, P.O. Box 1881, Milwaukee, WI, 53201-1881, USA
| | - J E Thompson
- Department of Physics and Astronomy, York University, Toronto, ON, Canada, M3J 1P3
| | - R I Thompson
- Department of Physics and Astronomy, University of Calgary, Calgary, AB, Canada, T2N 1N4
| | - D P van der Werf
- Department of Physics, College of Science, Swansea University, Swansea, SA2 8PP, UK.,IRFU, CEA/Saclay, F-91191, Gif-sur-Yvette, France
| | - J S Wurtele
- Department of Physics, University of California at Berkeley, Berkeley, CA, 94720-7300, USA
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16
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Sambaraju R, McVittie C, Nolan P. “This is an EU crisis requiring an EU solution”: Nation and transnational talk in negotiating warrants for further inclusion of refugees. J Community Appl Soc Psychol 2017. [DOI: 10.1002/casp.2307] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- Rahul Sambaraju
- Department of Psychology; University of Limerick; Limerick Ireland
| | - Chris McVittie
- Centre for Applied Social Science; Queen Margaret University; Musselburgh UK
| | - Philip Nolan
- Department of Psychology; University of Limerick; Limerick Ireland
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17
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Ahmadi M, Alves BXR, Baker CJ, Bertsche W, Butler E, Capra A, Carruth C, Cesar CL, Charlton M, Cohen S, Collister R, Eriksson S, Evans A, Evetts N, Fajans J, Friesen T, Fujiwara MC, Gill DR, Gutierrez A, Hangst JS, Hardy WN, Hayden ME, Isaac CA, Ishida A, Johnson MA, Jones SA, Jonsell S, Kurchaninov L, Madsen N, Mathers M, Maxwell D, McKenna JTK, Menary S, Michan JM, Momose T, Munich JJ, Nolan P, Olchanski K, Olin A, Pusa P, Rasmussen CØ, Robicheaux F, Sacramento RL, Sameed M, Sarid E, Silveira DM, Stracka S, Stutter G, So C, Tharp TD, Thompson JE, Thompson RI, van der Werf DP, Wurtele JS. Observation of the 1S–2S transition in trapped antihydrogen. Nature 2016; 541:506-510. [DOI: 10.1038/nature21040] [Citation(s) in RCA: 99] [Impact Index Per Article: 12.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2016] [Accepted: 12/07/2016] [Indexed: 11/09/2022]
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Gorecka M, Hanley A, Burke F, Nolan P, Crowley J. Targeted temperature management in cardiovascular disease complicated by cardiac arrest. Ir J Med Sci 2016; 186:123-127. [PMID: 27147219 DOI: 10.1007/s11845-016-1461-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2015] [Accepted: 04/23/2016] [Indexed: 10/21/2022]
Abstract
PURPOSE The majority of cardiac arrests occur due to cardiovascular etiology. Targeted temperature management (TTM) (32-34 °C) is a part of the standard post arrest care. We hypothesized that lower body temperature may lead to reduced cardiac metabolic demand and potentially have a beneficial effect on myocardial function. METHODS We performed a retrospective study on patients admitted to the intensive care unit following cardiac arrest secondary to cardiovascular etiology over a 9 year period. We assessed the impact of TTM on neurological and cardiac outcomes. RESULTS There were 57 patients in the cohort; 21 patients in the TTM group and 36 in the non-TTM group. Demographic characteristics were similar in both groups-the majority of patients (86 vs 80 %, respectively) were males in their 60s. Neurological outcomes were similar; 24 % of patients died during the ICU admission in the TTM group vs 18 % in the non-TTM group. Mean GCS on admission to the ICU was 4 vs 7, respectively, and 11 at discharge in both groups. Majority of patients recovered good neurological function (GCS ≥ 13)-57 % in the TTM group vs 64 % in the non-TTM group. The change in left ventricular function over a 6 month follow up period was significantly better in patients who received targeted temperature management-mean change of +4.4 vs -3.3 %, respectively. This proved to be statistically significant (p = 0.02). CONCLUSIONS The study demonstrates a possible beneficial effect of TTM on long-term cardiac function, when instituted following cardiac arrest.
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Affiliation(s)
- M Gorecka
- Cardiology Department, University College Hospital Galway, Galway, Ireland.
| | - A Hanley
- Cardiology Department, University College Hospital Galway, Galway, Ireland
| | - F Burke
- Intensive Care Unit, University College Hospital Galway, Galway, Ireland
| | - P Nolan
- Cardiology Department, University College Hospital Galway, Galway, Ireland
| | - J Crowley
- Cardiology Department, University College Hospital Galway, Galway, Ireland
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Weatherwax R, Richardson T, Beltz N, Nolan P, Dalleck L. Verification Testing to Confirm VO2max in Altitude-Residing, Endurance-Trained Runners. Int J Sports Med 2016; 37:525-30. [DOI: 10.1055/s-0035-1569346] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- R. Weatherwax
- Recreation, Exercise, and Sport Science Department, Western State Colorado University, Gunnison, United States
| | - T. Richardson
- Recreation, Exercise, and Sport Science Department, Western State Colorado University, Gunnison, United States
| | - N. Beltz
- Health, Exercise & Sports Sciences, University of New Mexico, Albuquerque, United States
| | - P. Nolan
- Department of Sport and Exercise Science, The University of Auckland, Auckland, New Zealand
| | - L. Dalleck
- Recreation, Exercise, and Sport Science Department, Western State Colorado University, Gunnison, United States
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20
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Jackson I, Starbuck B, McKie L, Banks G, Blease A, Simon M, Wisby L, Cross S, Nolan P, Brown S, Potter P. Eye diseases identified in the ENU-Ageing Screen. Acta Ophthalmol 2015. [DOI: 10.1111/j.1755-3768.2015.0162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- I. Jackson
- MRC Human Genetics Unit; University of Edinburgh; Edinburgh United Kingdom
| | - B. Starbuck
- MRC Mammalian Genetics Unit; MRC Harwell; Harwell United Kingdom
| | - L. McKie
- MRC Human Genetics Unit; University of Edinburgh; Edinburgh United Kingdom
| | - G. Banks
- MRC Mammalian Genetics Unit; MRC Harwell; Harwell United Kingdom
| | - A. Blease
- MRC Mammalian Genetics Unit; MRC Harwell; Harwell United Kingdom
| | - M. Simon
- MRC Mammalian Genetics Unit; MRC Harwell; Harwell United Kingdom
| | - L. Wisby
- MRC Mammalian Genetics Unit; MRC Harwell; Harwell United Kingdom
| | - S. Cross
- MRC Human Genetics Unit; University of Edinburgh; Edinburgh United Kingdom
| | - P. Nolan
- MRC Mammalian Genetics Unit; MRC Harwell; Harwell United Kingdom
| | - S. Brown
- MRC Mammalian Genetics Unit; MRC Harwell; Harwell United Kingdom
| | - P. Potter
- MRC Mammalian Genetics Unit; MRC Harwell; Harwell United Kingdom
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21
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Wall DM, Straccialini B, Allen E, Nolan P, Herrmann C, O'Kiely P, Murphy JD. Investigation of effect of particle size and rumen fluid addition on specific methane yields of high lignocellulose grass silage. Bioresour Technol 2015; 192:266-271. [PMID: 26038332 DOI: 10.1016/j.biortech.2015.05.078] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/15/2015] [Revised: 05/20/2015] [Accepted: 05/21/2015] [Indexed: 06/04/2023]
Abstract
This work examines the digestion of advanced growth stage grass silage. Two variables were investigated: particle size (greater than 3 cm and less than 1cm) and rumen fluid addition. Batch studies indicated particle size and rumen fluid addition had little effect on specific methane yields (SMYs). In continuous digestion of 3 cm silage the SMY was 342 and 343 L CH4 kg(-1)VS, respectively, with and without rumen fluid addition. However, digester operation was significantly affected through silage floating on the liquor surface and its entanglement in the mixing system. Digestion of 1cm silage with no rumen fluid addition struggled; volatile fatty acid concentrations rose and SMYs dropped. The best case was 1cm silage with rumen fluid addition, offering higher SMYs of 371 L CH4 kg(-1)VS and stable operation throughout. Thus, physical and biological treatments benefited continuous digestion of high fibre grass silage.
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Affiliation(s)
- D M Wall
- Environmental Research Institute, School of Engineering, University College Cork, Cork, Ireland; Animal & Grassland Research and Innovation Centre, Teagasc, Grange, Dunsany, Co. Meath, Ireland
| | - B Straccialini
- Environmental Research Institute, School of Engineering, University College Cork, Cork, Ireland; Department of Agricultural, Food and Environmental Science, Perugia University, Perugia, Italy
| | - E Allen
- Environmental Research Institute, School of Engineering, University College Cork, Cork, Ireland
| | - P Nolan
- Animal & Grassland Research and Innovation Centre, Teagasc, Grange, Dunsany, Co. Meath, Ireland
| | - C Herrmann
- Environmental Research Institute, School of Engineering, University College Cork, Cork, Ireland; Science Foundation Ireland (SFI), Marine Renewable Energy (MaREI) Centre, Ireland
| | - P O'Kiely
- Animal & Grassland Research and Innovation Centre, Teagasc, Grange, Dunsany, Co. Meath, Ireland
| | - J D Murphy
- Environmental Research Institute, School of Engineering, University College Cork, Cork, Ireland; Science Foundation Ireland (SFI), Marine Renewable Energy (MaREI) Centre, Ireland.
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22
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Nolan P, McEniry J, Doyle EM, O'Kiely P. Comparison of specific methane yield of perennial ryegrass prepared by thermal drying versus non-thermal drying in small-scale batch digestion tests. Bioresour Technol 2014; 169:484-489. [PMID: 25084047 DOI: 10.1016/j.biortech.2014.07.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/04/2014] [Revised: 07/04/2014] [Accepted: 07/05/2014] [Indexed: 06/03/2023]
Abstract
Dried milled biomass samples are frequently utilised in small-scale batch digestion tests. However, herbage chemical composition can be altered by thermal drying, and this may affect specific methane (CH4) yields. Thus, the specific CH4 yield of herbage pre- and post-ensiling, prepared by two preparation methods were compared. Perennial ryegrass samples were either non-thermally dried (i.e. subject to cryogenic conditions, -196 °C) or thermally dried (40 °C), prior to milling. Specific CH4 yield was subsequently determined in a small-scale batch digestion test. Herbage pre-ensiling yielded 204 and 243 L CH4 kg(-1)VS(added) and herbage post-ensiling yielded 212 and 188 L CH4 kg(-1)VS(added) with non-thermal dried and thermal dried sample preparation methods, respectively. Due to opposing effects of thermal drying on CH4 yields of herbage either pre- or post-ensiling, it is not recommended to use thermal drying. Instead, it is recommended that non-thermal dried herbage samples are used in small-scale batch digestion tests.
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Affiliation(s)
- P Nolan
- Animal & Grassland Research and Innovation Centre, Teagasc, Grange, Dunsany, Co. Meath, Ireland; School of Biology and Environmental Science, University College Dublin, Belfield, Dublin 4, Ireland
| | - J McEniry
- Animal & Grassland Research and Innovation Centre, Teagasc, Grange, Dunsany, Co. Meath, Ireland
| | - E M Doyle
- School of Biology and Environmental Science, University College Dublin, Belfield, Dublin 4, Ireland
| | - P O'Kiely
- Animal & Grassland Research and Innovation Centre, Teagasc, Grange, Dunsany, Co. Meath, Ireland.
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23
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Amole C, Ashkezari MD, Baquero-Ruiz M, Bertsche W, Butler E, Capra A, Cesar CL, Charlton M, Eriksson S, Fajans J, Friesen T, Fujiwara MC, Gill DR, Gutierrez A, Hangst JS, Hardy WN, Hayden ME, Isaac CA, Jonsell S, Kurchaninov L, Little A, Madsen N, McKenna JTK, Menary S, Napoli SC, Nolan P, Olchanski K, Olin A, Povilus A, Pusa P, Rasmussen CØ, Robicheaux F, Sarid E, Silveira DM, So C, Tharp TD, Thompson RI, van der Werf DP, Vendeiro Z, Wurtele JS, Zhmoginov AI, Charman AE. An experimental limit on the charge of antihydrogen. Nat Commun 2014; 5:3955. [PMID: 24892800 PMCID: PMC4279174 DOI: 10.1038/ncomms4955] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2014] [Accepted: 04/24/2014] [Indexed: 11/09/2022] Open
Abstract
The properties of antihydrogen are expected to be identical to those of hydrogen, and any differences would constitute a profound challenge to the fundamental theories of physics. The most commonly discussed antiatom-based tests of these theories are searches for antihydrogen-hydrogen spectral differences (tests of CPT (charge-parity-time) invariance) or gravitational differences (tests of the weak equivalence principle). Here we, the ALPHA Collaboration, report a different and somewhat unusual test of CPT and of quantum anomaly cancellation. A retrospective analysis of the influence of electric fields on antihydrogen atoms released from the ALPHA trap finds a mean axial deflection of 4.1 ± 3.4 mm for an average axial electric field of 0.51 V mm(-1). Combined with extensive numerical modelling, this measurement leads to a bound on the charge Qe of antihydrogen of Q=(-1.3 ± 1.1 ± 0.4) × 10(-8). Here, e is the unit charge, and the errors are from statistics and systematic effects.
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Affiliation(s)
- C Amole
- Department of Physics and Astronomy, York University, Toronto, Ontario, Canada M3J 1P3
| | - M D Ashkezari
- Department of Physics, Simon Fraser University, Burnaby, British Columbia, Canada V5A 1S6
| | - M Baquero-Ruiz
- Department of Physics, University of California at Berkeley, Berkeley, California 94720-7300, USA
| | - W Bertsche
- 1] School of Physics and Astronomy, University of Manchester, Manchester M13 9PL, UK [2] The Cockcroft Institute, Daresbury Laboratory, Warrington WA4 4AD, UK
| | - E Butler
- 1] Centre for Cold Matter, Imperial College, London SW7 2BW, UK [2] Physics Department, CERN, CH-1211 Geneva 23, Switzerland
| | - A Capra
- Department of Physics and Astronomy, York University, Toronto, Ontario, Canada M3J 1P3
| | - C L Cesar
- Instituto de Física, Universidade Federal do Rio de Janeiro, Rio de Janeiro 21941-972, Brazil
| | - M Charlton
- Department of Physics, College of Science, Swansea University, Swansea SA2 8PP, UK
| | - S Eriksson
- Department of Physics, College of Science, Swansea University, Swansea SA2 8PP, UK
| | - J Fajans
- 1] Department of Physics, University of California at Berkeley, Berkeley, California 94720-7300, USA [2] Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - T Friesen
- Department of Physics and Astronomy, University of Calgary, Calgary, Alberta, Canada T2N 1N4
| | - M C Fujiwara
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia, Canada V6T 2A3
| | - D R Gill
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia, Canada V6T 2A3
| | - A Gutierrez
- Department of Physics and Astronomy, University of British Columbia, Vancouver, British Columbia, Canada V6T 1Z1
| | - J S Hangst
- 1] Physics Department, CERN, CH-1211 Geneva 23, Switzerland [2] Department of Physics and Astronomy, Aarhus University, DK-8000 Aarhus C, Denmark
| | - W N Hardy
- 1] Department of Physics and Astronomy, University of British Columbia, Vancouver, British Columbia, Canada V6T 1Z1 [2] Canadian Institute of Advanced Research, Toronto, Ontario, Canada M5G 1ZA
| | - M E Hayden
- Department of Physics, Simon Fraser University, Burnaby, British Columbia, Canada V5A 1S6
| | - C A Isaac
- Department of Physics, College of Science, Swansea University, Swansea SA2 8PP, UK
| | - S Jonsell
- Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
| | - L Kurchaninov
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia, Canada V6T 2A3
| | - A Little
- Department of Physics, University of California at Berkeley, Berkeley, California 94720-7300, USA
| | - N Madsen
- Department of Physics, College of Science, Swansea University, Swansea SA2 8PP, UK
| | - J T K McKenna
- Department of Physics, University of Liverpool, Liverpool L69 7ZE, UK
| | - S Menary
- Department of Physics and Astronomy, York University, Toronto, Ontario, Canada M3J 1P3
| | - S C Napoli
- Department of Physics, College of Science, Swansea University, Swansea SA2 8PP, UK
| | - P Nolan
- Department of Physics, University of Liverpool, Liverpool L69 7ZE, UK
| | - K Olchanski
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia, Canada V6T 2A3
| | - A Olin
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia, Canada V6T 2A3
| | - A Povilus
- Department of Physics, University of California at Berkeley, Berkeley, California 94720-7300, USA
| | - P Pusa
- Department of Physics, University of Liverpool, Liverpool L69 7ZE, UK
| | - C Ø Rasmussen
- Department of Physics and Astronomy, Aarhus University, DK-8000 Aarhus C, Denmark
| | - F Robicheaux
- Department of Physics, Purdue University, West Lafayette, Indiana 47907, USA
| | - E Sarid
- Department of Physics, NRCN-Nuclear Research Center Negev, Beer Sheva IL-84190, Israel
| | - D M Silveira
- Instituto de Física, Universidade Federal do Rio de Janeiro, Rio de Janeiro 21941-972, Brazil
| | - C So
- Department of Physics, University of California at Berkeley, Berkeley, California 94720-7300, USA
| | - T D Tharp
- Department of Physics, University of California at Berkeley, Berkeley, California 94720-7300, USA
| | - R I Thompson
- Department of Physics and Astronomy, University of Calgary, Calgary, Alberta, Canada T2N 1N4
| | - D P van der Werf
- Department of Physics, College of Science, Swansea University, Swansea SA2 8PP, UK
| | - Z Vendeiro
- Department of Physics, University of California at Berkeley, Berkeley, California 94720-7300, USA
| | - J S Wurtele
- 1] Department of Physics, University of California at Berkeley, Berkeley, California 94720-7300, USA [2] Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - A I Zhmoginov
- 1] Department of Physics, University of California at Berkeley, Berkeley, California 94720-7300, USA [2] Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - A E Charman
- Department of Physics, University of California at Berkeley, Berkeley, California 94720-7300, USA
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Affiliation(s)
- P. Nolan
- Department of Sport and Exercise Science, The University of Auckland, Auckland, New Zealand
| | - M. Beaven
- Department of Sport and Exercise Science, The University of Auckland, Auckland, New Zealand
| | - L. Dalleck
- Recreation, Exercise and Sport Science, Western State Colorado University, Gunnison, United States
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25
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Amole C, Ashkezari MD, Baquero-Ruiz M, Bertsche W, Butler E, Capra A, Cesar CL, Chapman S, Charlton M, Eriksson S, Fajans J, Friesen T, Fujiwara MC, Gill DR, Gutierrez A, Hangst JS, Hardy WN, Hayden ME, Isaac CA, Jonsell S, Kurchaninov L, Little A, Madsen N, McKenna JTK, Menary S, Napoli SC, Nolan P, Olchanski K, Olin A, Povilus A, Pusa P, Rasmussen CØ, Robicheaux F, Sarid E, Silveira DM, Stracka S, So C, Thompson RI, Turner M, van der Werf DP, Wurtele JS, Zhmoginov A. Autoresonant-spectrometric determination of the residual gas composition in the ALPHA experiment apparatus. Rev Sci Instrum 2013; 84:065110. [PMID: 23822381 DOI: 10.1063/1.4811527] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
Knowledge of the residual gas composition in the ALPHA experiment apparatus is important in our studies of antihydrogen and nonneutral plasmas. A technique based on autoresonant ion extraction from an electrostatic potential well has been developed that enables the study of the vacuum in our trap. Computer simulations allow an interpretation of our measurements and provide the residual gas composition under operating conditions typical of those used in experiments to produce, trap, and study antihydrogen. The methods developed may also be applicable in a range of atomic and molecular trap experiments where Penning-Malmberg traps are used and where access is limited.
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Affiliation(s)
- C Amole
- Department of Physics and Astronomy, York University, Toronto, Ontario M3J 1P3, Canada
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26
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Amole C, Ashkezari MD, Baquero-Ruiz M, Bertsche W, Bowe PD, Butler E, Capra A, Cesar CL, Charlton M, Deller A, Donnan PH, Eriksson S, Fajans J, Friesen T, Fujiwara MC, Gill DR, Gutierrez A, Hangst JS, Hardy WN, Hayden ME, Humphries AJ, Isaac CA, Jonsell S, Kurchaninov L, Little A, Madsen N, McKenna JTK, Menary S, Napoli SC, Nolan P, Olchanski K, Olin A, Pusa P, Rasmussen CØ, Robicheaux F, Sarid E, Shields CR, Silveira DM, Stracka S, So C, Thompson RI, van der Werf DP, Wurtele JS. Resonant quantum transitions in trapped antihydrogen atoms. Nature 2012; 483:439-43. [PMID: 22398451 DOI: 10.1038/nature10942] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2012] [Accepted: 02/07/2012] [Indexed: 11/09/2022]
Abstract
The hydrogen atom is one of the most important and influential model systems in modern physics. Attempts to understand its spectrum are inextricably linked to the early history and development of quantum mechanics. The hydrogen atom's stature lies in its simplicity and in the accuracy with which its spectrum can be measured and compared to theory. Today its spectrum remains a valuable tool for determining the values of fundamental constants and for challenging the limits of modern physics, including the validity of quantum electrodynamics and--by comparison with measurements on its antimatter counterpart, antihydrogen--the validity of CPT (charge conjugation, parity and time reversal) symmetry. Here we report spectroscopy of a pure antimatter atom, demonstrating resonant quantum transitions in antihydrogen. We have manipulated the internal spin state of antihydrogen atoms so as to induce magnetic resonance transitions between hyperfine levels of the positronic ground state. We used resonant microwave radiation to flip the spin of the positron in antihydrogen atoms that were magnetically trapped in the ALPHA apparatus. The spin flip causes trapped anti-atoms to be ejected from the trap. We look for evidence of resonant interaction by comparing the survival rate of trapped atoms irradiated with microwaves on-resonance to that of atoms subjected to microwaves that are off-resonance. In one variant of the experiment, we detect 23 atoms that survive in 110 trapping attempts with microwaves off-resonance (0.21 per attempt), and only two atoms that survive in 103 attempts with microwaves on-resonance (0.02 per attempt). We also describe the direct detection of the annihilation of antihydrogen atoms ejected by the microwaves.
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Affiliation(s)
- C Amole
- Department of Physics and Astronomy, York University, Toronto, Ontario, M3J 1P3, Canada
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Abstract
The growing number of people worldwide with mental health problems is increasing and making intensive demands on existing services. Recent reorganizations of healthcare provision in the UK have focused predominantly on administrative efficiency, standardization and cost-effectiveness. Although little evidence exists that reorganizations, per se, directly result in improved health nationally, nevertheless, organizational change coupled with improved care provision can have a considerable impact on the mental health of people. It is known that service users want person-centred help with improving their confidence, autonomy and cognitive and social skills so as to be able to manage their lives within the social context in which they live. In this study, semi-structured interviews were used to explore service users' expectations and experiences of acute inpatient care and the early post-discharge period. While the social environment of the wards was seen by many as conducive to promoting safety and interpersonal relationships, others found the experience lacking in assisting them to resume their lives post discharge. If acute care is to become more than a mechanism for addressing and containing risk, better targeted interventions are required to help individuals find strategies that are transferable to the context of their 'real' lives. A number of factors that were identified by respondents in this study are identified and discussed.
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Affiliation(s)
- P Nolan
- Staffordshire University and South Staffordshire and Shropshire Mental Health NHS Trust, Stafford, UK.
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28
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Andresen GB, Ashkezari MD, Baquero-Ruiz M, Bertsche W, Bowe PD, Butler E, Cesar CL, Chapman S, Charlton M, Deller A, Eriksson S, Fajans J, Friesen T, Fujiwara MC, Gill DR, Gutierrez A, Hangst JS, Hardy WN, Hayden ME, Humphries AJ, Hydomako R, Jonsell S, Madsen N, Menary S, Nolan P, Olin A, Povilus A, Pusa P, Robicheaux F, Sarid E, Silveira DM, So C, Storey JW, Thompson RI, van der Werf DP, Wurtele JS, Yamazaki Y. Centrifugal separation and equilibration dynamics in an electron-antiproton plasma. Phys Rev Lett 2011; 106:145001. [PMID: 21561196 DOI: 10.1103/physrevlett.106.145001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/06/2010] [Indexed: 05/30/2023]
Abstract
Charges in cold, multiple-species, non-neutral plasmas separate radially by mass, forming centrifugally separated states. Here, we report the first detailed measurements of such states in an electron-antiproton plasma, and the first observations of the separation dynamics in any centrifugally separated system. While the observed equilibrium states are expected and in agreement with theory, the equilibration time is approximately constant over a wide range of parameters, a surprising and as yet unexplained result. Electron-antiproton plasmas play a crucial role in antihydrogen trapping experiments.
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Affiliation(s)
- G B Andresen
- Department of Physics and Astronomy, Aarhus University, DK-8000 Aarhus C, Denmark
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29
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Andresen GB, Ashkezari MD, Baquero-Ruiz M, Bertsche W, Bowe PD, Butler E, Carpenter PT, Cesar CL, Chapman S, Charlton M, Fajans J, Friesen T, Fujiwara MC, Gill DR, Hangst JS, Hardy WN, Hayden ME, Humphries AJ, Hurt JL, Hydomako R, Jonsell S, Madsen N, Menary S, Nolan P, Olchanski K, Olin A, Povilus A, Pusa P, Robicheaux F, Sarid E, Silveira DM, So C, Storey JW, Thompson RI, van der Werf DP, Wurtele JS, Yamazaki Y. Autoresonant excitation of antiproton plasmas. Phys Rev Lett 2011; 106:025002. [PMID: 21405235 DOI: 10.1103/physrevlett.106.025002] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/06/2010] [Indexed: 05/30/2023]
Abstract
We demonstrate controllable excitation of the center-of-mass longitudinal motion of a thermal antiproton plasma using a swept-frequency autoresonant drive. When the plasma is cold, dense, and highly collective in nature, we observe that the entire system behaves as a single-particle nonlinear oscillator, as predicted by a recent theory. In contrast, only a fraction of the antiprotons in a warm plasma can be similarly excited. Antihydrogen was produced and trapped by using this technique to drive antiprotons into a positron plasma, thereby initiating atomic recombination.
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Affiliation(s)
- G B Andresen
- Department of Physics and Astronomy, Aarhus University, DK-8000 Aarhus C, Denmark
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30
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Andresen GB, Ashkezari MD, Baquero-Ruiz M, Bertsche W, Bowe PD, Butler E, Cesar CL, Chapman S, Charlton M, Deller A, Eriksson S, Fajans J, Friesen T, Fujiwara MC, Gill DR, Gutierrez A, Hangst JS, Hardy WN, Hayden ME, Humphries AJ, Hydomako R, Jenkins MJ, Jonsell S, Jørgensen LV, Kurchaninov L, Madsen N, Menary S, Nolan P, Olchanski K, Olin A, Povilus A, Pusa P, Robicheaux F, Sarid E, Nasr SSE, Silveira DM, So C, Storey JW, Thompson RI, van der Werf DP, Wurtele JS, Yamazaki Y. Trapped antihydrogen. Nature 2010; 468:673-6. [DOI: 10.1038/nature09610] [Citation(s) in RCA: 265] [Impact Index Per Article: 18.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2010] [Accepted: 10/27/2010] [Indexed: 11/09/2022]
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31
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Andresen GB, Ashkezari MD, Baquero-Ruiz M, Bertsche W, Bowe PD, Butler E, Cesar CL, Chapman S, Charlton M, Fajans J, Friesen T, Fujiwara MC, Gill DR, Hangst JS, Hardy WN, Hayano RS, Hayden ME, Humphries A, Hydomako R, Jonsell S, Kurchaninov L, Lambo R, Madsen N, Menary S, Nolan P, Olchanski K, Olin A, Povilus A, Pusa P, Robicheaux F, Sarid E, Silveira DM, So C, Storey JW, Thompson RI, van der Werf DP, Wilding D, Wurtele JS, Yamazaki Y. Evaporative cooling of antiprotons to cryogenic temperatures. Phys Rev Lett 2010; 105:013003. [PMID: 20867439 DOI: 10.1103/physrevlett.105.013003] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/09/2010] [Indexed: 05/29/2023]
Abstract
We report the application of evaporative cooling to clouds of trapped antiprotons, resulting in plasmas with measured temperature as low as 9 K. We have modeled the evaporation process for charged particles using appropriate rate equations. Good agreement between experiment and theory is observed, permitting prediction of cooling efficiency in future experiments. The technique opens up new possibilities for cooling of trapped ions and is of particular interest in antiproton physics, where a precise CPT test on trapped antihydrogen is a long-standing goal.
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Affiliation(s)
- G B Andresen
- Department of Physics and Astronomy, Aarhus University, DK-8000 Aarhus C, Denmark
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Abstract
Healthcare professionals are key providers of information about antipsychotic medication and may have a significant influence on the decisions that service users make about how their medication is delivered. This systematic review aimed to explore health professionals' attitudes and beliefs towards antipsychotic depot medication. A systematic search of AMED, BNI, CINAHL, EMBASE, HEALTH BUSINESS ELITE, HMIC, MEDLINE and PsycINFO was carried out, as well as hand searches of journals and citation searches. Studies were selected if the terms 'attitudes/beliefs' and 'depot/injection' were included in the title or abstract, if health professionals were participants in the study and if original data were included. The search strategy produced 131 papers. Eight relevant studies were then selected for the review. They included six cross-sectional surveys and two qualitative studies. It was shown that the research carried out is still very sparse. Depots are seen as old fashioned, stigmatizing, causingside effects and being costly, and they are often not prescribed because of a presumed adherence to oral medication. More research needs to be carried out to further explore these issues, to look at the role of non-medical prescribers and explore the relationship between health professionals' attitudes and those of service users.
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Affiliation(s)
- C Besenius
- Staffordshire University and South Staffordshire and Shropshire Healthcare NHS Foundation Trust, Stafford ST16 3SR, UK.
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Abstract
In recent years, the purpose and quality of provision delivered in acute inpatient psychiatric settings have been increasingly questioned. Studies from a service user perspective have reported that while some psychiatric inpatients feel safe and cared for, others feel their time in hospital is neither safe nor therapeutic. This paper explores the experiences of service users on acute inpatient psychiatric wards in England, with a particular focus on their feelings of safety and security. Interviews were conducted with 60 psychiatric inpatients in England. The majority of service users felt safe in hospital and felt supported by staff and other service users. However, anything that threatened their sense of security such as aggression, bullying, theft, racism and the use of alcohol and drugs on the ward, made some respondents feel insecure and unsafe. Psychiatric wards are still perceived by many as volatile environments, where service users feel forced to devise personal security strategies in order to protect themselves and their property. It would appear that there remains much to do before research findings and policies are implemented in ways that facilitate all service users to derive the maximum benefit from their inpatient experience.
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Affiliation(s)
- J Jones
- School of Community Health Sciences, City University, London E1 2EA, UK.
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Andresen GB, Bertsche W, Bowe PD, Bray CC, Butler E, Cesar CL, Chapman S, Charlton M, Fajans J, Fujiwara MC, Gill DR, Hangst JS, Hardy WN, Hayano RS, Hayden ME, Humphries AJ, Hydomako R, Jørgensen LV, Kerrigan SJ, Kurchaninov L, Lambo R, Madsen N, Nolan P, Olchanski K, Olin A, Povilus AP, Pusa P, Sarid E, Seif El Nasr S, Silveira DM, Storey JW, Thompson RI, van der Werf DP, Yamazaki Y. Antiproton, positron, and electron imaging with a microchannel plate/phosphor detector. Rev Sci Instrum 2009; 80:123701. [PMID: 20073120 DOI: 10.1063/1.3266967] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
A microchannel plate (MCP)/phosphor screen assembly has been used to destructively measure the radial profile of cold, confined antiprotons, electrons, and positrons in the ALPHA experiment, with the goal of using these trapped particles for antihydrogen creation and confinement. The response of the MCP to low energy (10-200 eV, <1 eV spread) antiproton extractions is compared to that of electrons and positrons.
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35
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Ryan S, Nolan P. Long-term facilitation of upper airway muscle activity induced by episodic upper airway negative pressure and hypoxia in spontaneously breathing anaesthetized rats. J Physiol 2009; 587:3343-53. [PMID: 19332494 PMCID: PMC2727041 DOI: 10.1113/jphysiol.2009.169698] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2009] [Accepted: 03/23/2009] [Indexed: 11/08/2022] Open
Abstract
Obstruction of the upper airway (UA) is associated with episodes of hypoxia and upper airway negative pressure (UANP). In the companion paper it is shown that episodic hypoxia elicits long-term facilitation (LTF) of tongue protrudor, retractor and respiratory pump muscle activity. However, whether repeated exposure to UANP also induces LTF is unknown. We hypothesized that repetitive exposure to UANP would induce LTF of UA and respiratory pump muscle activity and when coupled with hypoxia, as occurs when the UA obstructs, would lead to an even greater facilitation of muscle activity and the response to UANP. Experiments were performed in 24 anaesthetized, spontaneously breathing rats with intact vagi. To induce LTF, UANP stimuli (-10 cmH(2)O) of 5 s duration were delivered every 30 s for 3 min (+/- hypoxia). This was repeated eight times over 1 h, each 3 min episode separated by 5 min of normoxia. Genioglossus (GG), hyoglossus (HG) and diaphragm (Dia) muscle activity was recorded before, during and for 1 h following the last exposure to episodic UANP alone (n = 8), UANP and hypoxia together (n = 8) or normoxia alone (n = 8). During the final hour, single pulses of UANP were applied at 1 min and every 10 min thereafter to determine whether LTF of the response to UANP had been induced. Our results show that LTF of GG muscle activity and its response to UANP was induced following exposure to episodic UANP stimuli alone and UANP applied during hypoxia. However, there was no significant difference between these responses. Episodic UANP alone also induced LTF of HG muscle activity but this effect did not manifest until 40 min following the last episode of repeated UANP stimulation. In the presence of hypoxia, no LTF of HG muscle response to UANP was found. In conclusion, episodic UANP stimulation induces LTF of UA dilator and retractor tongue muscles, but no further facilitation occurs when coupled with hypoxia. This response may serve as an important protective mechanism of respiratory homeostasis during sleep, particularly in patients who suffer from obstructive sleep apnoea.
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Affiliation(s)
- Stephen Ryan
- Conway Institute for Biomolecular and Biomedical Research, University College Dublin, Ireland
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Abstract
For mental health nurses and service users to realize the benefits of non-medical prescribing, psychiatrists need to understand the remit of this role and be actively involved in influencing it. Although healthcare policy in the UK supports the expansion of non-medical prescribing, it requires much more for the successful implementation of such initiatives in practice. The aim of this survey was to explore the attitudes of all grades of psychiatrist working in two mental health trusts in the West Midlands to nurse prescribing. A specifically designed questionnaire was sent out to two groups of psychiatrists to assess their attitudes towards non-medical prescribing. Psychiatrists (n = 147) completed and returned a specifically designed questionnaire of their views. The more senior doctors appeared less concerned about nurse prescribing. Junior doctors expressed equivocation towards the role, suggesting that nurse prescribers be consistently supervised and have limited access to mental health drugs. The findings from this study have considerable implications for teams if junior doctors hold different views to their senior colleagues. Without the assistance of trusts in facilitating role change, the introduction of new roles could potentially heighten conflict between professions.
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Affiliation(s)
- T Rana
- South Staffordshire and Shropshire Healthcare NHS Foundation Trust, Park House, Cannock, UK
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37
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Ryan S, Nolan P. Episodic hypoxia induces long-term facilitation of upper airway muscle activity in spontaneously breathing anaesthetized rats. J Physiol 2009; 587:3329-42. [PMID: 19332489 DOI: 10.1113/jphysiol.2009.169680] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
We performed these experiments to determine if repeated exposure to episodic hypoxia induces long term facilitation (LTF) in anaesthetized spontaneously breathing rats. A previous study in spontaneously breathing rats was unable to demonstrate evidence of LTF with repeated hypoxia, but this may have been due to the low number of hypoxic episodes used. We hypothesized that with sufficient exposure, episodic hypoxia LTF of genioglossus (GG), hyoglossus (HG) and diaphragm (Dia) activities would be elicited. Experiments were performed in 24 anaesthetized spontaneously breathing rats with intact vagi. Peak and tonic GG, HG and Dia EMG activities were recorded before, during and for 1 h following exposure to eight (n = 8) or three (n = 8) episodes of isocapnic hypoxia ( = 0.1) each of 3 min duration. A third time control series was also performed with exposure to normoxia alone ( = 0.28, n = 8). Short-term potentiation of GG and HG muscle activity developed during the early period after repeated exposure to eight and three hypoxic episodes. LTF, however, occurred only after eight hypoxic episodes. This manifested as an increase in peak GG and Dia inspiratory muscle activity and tonic HG activity. LTF of respiratory breathing frequency was also induced, reflected by a reduction in inspiratory and expiratory time. These findings support our initial hypothesis that LTF in the anaesthetized, spontaneously breathing rat is dependent on the number of exposures to hypoxia and show that the responses to repetitive hypoxia are composed of both short and long-term facilitatory changes.
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Affiliation(s)
- Stephen Ryan
- Conway Institute for Biomolecular and Biomedical Research, University College Dublin, Ireland
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Heneghan C, de Chazal P, Ryan S, Chua CP, Doherty L, Boyle P, Nolan P, McNicholas WT. Electrocardiogram recording as a screening tool for sleep disordered breathing. J Clin Sleep Med 2008; 4:223-228. [PMID: 18595434 PMCID: PMC2546454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
STUDY OBJECTIVES Transient changes in heart rate associated with obstructive apneas have been suggested for screening of sleep disordered breathing (SDB). This study prospectively compares the outcomes of an automated ECG-based SDB screening tool with simultaneous polysomnography. METHODS The previously-developed automated algorithm was applied to a single channel ECG obtained during standard overnight polysomnography (92 subjects) to obtain an apnea-hypopnea index (AHI) estimate. Using AHI thresholds of < 5 and > or =15 to define absence and presence of SDB, respectively, we determined the likelihood ratios of the proposed technique. RESULTS The automated algorithm achieved positive and negative likelihood ratios of 2.16 and 0.08. Estimated and reference AHI were highly correlated (r = 0.88). Pathologically insignificant arrhythmia in some subjects had no discernible impact on the algorithm. CONCLUSIONS ECG-based assessment provides a simple but limited means of recognizing subjects with obstructive sleep apnea.
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Affiliation(s)
- Conor Heneghan
- School of Electrical, Electronic and Mechanical Engineering, Engineering and Material Sciences Centre, University College Dublin, Belfield, Dublin 4, Ireland.
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39
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Heneghan C, de Chazal P, Ryan S, Chua CP, Doherty L, Boyle P, Nolan P, McNicholas WT. Electrocardiogram Recording as a Screening Tool for Sleep Disordered Breathing. J Clin Sleep Med 2008. [DOI: 10.5664/jcsm.27184] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- Conor Heneghan
- School of Electrical, Electronic and Mechanical Engineering, University College Dublin, Dublin, Ireland
- BiancaMed Ltd, NovaUCD, University College Dublin, Dublin, Ireland
| | - Philip de Chazal
- BiancaMed Ltd, NovaUCD, University College Dublin, Dublin, Ireland
| | - Silke Ryan
- The Respiratory Sleep Disorders Unit, St. Vincent's University Hospital, Dublin, Dublin, Ireland
| | - Chern-Pin Chua
- School of Electrical, Electronic and Mechanical Engineering, University College Dublin, Dublin, Ireland
| | - Liam Doherty
- The Respiratory Sleep Disorders Unit, St. Vincent's University Hospital, Dublin, Dublin, Ireland
| | - Patricia Boyle
- The Respiratory Sleep Disorders Unit, St. Vincent's University Hospital, Dublin, Dublin, Ireland
| | - Philip Nolan
- The Conway Institute of Biomolecular and Biomedical Research, University College Dublin, Dublin, Ireland
| | - Walter T. McNicholas
- The Conway Institute of Biomolecular and Biomedical Research, University College Dublin, Dublin, Ireland
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40
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Andresen GB, Bertsche W, Bowe PD, Bray CC, Butler E, Cesar CL, Chapman S, Charlton M, Fajans J, Fujiwara MC, Funakoshi R, Gill DR, Hangst JS, Hardy WN, Hayano RS, Hayden ME, Hydomako R, Jenkins MJ, Jørgensen LV, Kurchaninov L, Lambo R, Madsen N, Nolan P, Olchanski K, Olin A, Povilus A, Pusa P, Robicheaux F, Sarid E, El Nasr SS, Silveira DM, Storey JW, Thompson RI, van der Werf DP, Wurtele JS, Yamazaki Y. Compression of antiproton clouds for antihydrogen trapping. Phys Rev Lett 2008; 100:203401. [PMID: 18518531 DOI: 10.1103/physrevlett.100.203401] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/22/2007] [Indexed: 05/26/2023]
Abstract
Control of the radial profile of trapped antiproton clouds is critical to trapping antihydrogen. We report the first detailed measurements of the radial manipulation of antiproton clouds, including areal density compressions by factors as large as ten, by manipulating spatially overlapped electron plasmas. We show detailed measurements of the near-axis antiproton radial profile and its relation to that of the electron plasma.
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Affiliation(s)
- G B Andresen
- Department of Physics and Astronomy, Aarhus University, DK-8000 Aarhus C, Denmark
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41
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Fujiwara MC, Andresen GB, Bertsche W, Bowe PD, Bray CC, Butler E, Cesar CL, Chapman S, Charlton M, Fajans J, Funakoshi R, Gill DR, Hangst JS, Hardy WN, Hayano RS, Hayden ME, Humphries AJ, Hydomako R, Jenkins MJ, Jo̸rgensen LV, Kurchaninov L, Lai W, Lambo R, Madsen N, Nolan P, Olchanski K, Olin A, Povilus A, Pusa P, Robicheaux F, Sarid E, El Nasr SS, Silveira DM, Storey JW, Thompson RI, van der Werf DP, Wasilenko L, Wurtele JS, Yamazaki Y, Kanai Y, Yamazaki Y. Particle Physics Aspects of Antihydrogen Studies with ALPHA at CERN. ACTA ACUST UNITED AC 2008. [DOI: 10.1063/1.2977840] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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42
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Doherty LS, Cullen JP, Nolan P, McNicholas WT. The human genioglossus response to negative airway pressure: stimulus timing and route of delivery. Exp Physiol 2007; 93:288-95. [PMID: 17951328 DOI: 10.1113/expphysiol.2007.039677] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
The genioglossus reflex response to sudden onset pulses of negative airway pressure (NAP) in humans is reported to occur more commonly at end rather than onset of expiration when delivered via a mouthpiece. We examined whether this response was modulated by the route of stimulus delivery throughout the respiratory cycle. The genioglossus surface EMG (GGsEMG) response to NAP delivered randomly throughout the respiratory cycle was measured in a set of experiments: (i) 40 stimuli of NAP at -5, -7.5 and -10 cmH2O applied to eight healthy, awake, supine males via nose-mask; and (ii) 60 stimuli of -7.5 cmH2O NAP applied to 15 subjects via both nose-mask and mouthpiece in random order. Despite similar pressure changes being detected in the epiglottis during both routes of stimulus delivery, far lower pressure changes were measured at the nasal choanae during mouthpiece compared with nose-mask delivery. There were no significant differences between the responses during any phase of respiration, nor when NAP was delivered via nose-mask or mouthpiece. We conclude that the sensitivity of the GGsEMG response to NAP in humans does not vary significantly with phase of respiration or route of breathing.
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Affiliation(s)
- Liam S Doherty
- Respiratory Sleep Disorders Unit, St. Vincent's University Hospital, Dublin, Ireland
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43
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O'Connor CM, Lowery MM, Doherty LS, McHugh M, O'Muircheartaigh C, Cullen J, Nolan P, McNicholas WT, O'Malley MJ. Improved surface EMG electrode for measuring genioglossus muscle activity. Respir Physiol Neurobiol 2007; 159:55-67. [PMID: 17707698 DOI: 10.1016/j.resp.2007.05.011] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2007] [Revised: 04/26/2007] [Accepted: 05/16/2007] [Indexed: 11/18/2022]
Abstract
Activation of the genioglossus (GG) muscles is necessary to maintain the patency of the upper airway. In the condition of obstructive sleep apnea (OSA) this mechanism fails and the possible role of fatigue in its pathogenesis is still not fully understood. In this paper, a new electrode design for recording the genioglossus surface electromyogram (sEMG) is presented. The new design differs from a widely used GG surface electrode in both electrode configuration (unilateral rather than bilateral) and electrode material (Ag-AgCl rather than stainless steel (SS)). The separate effects of these factors were evaluated during force-varying and fatiguing contractions on normal human subjects and using GG sEMG model simulations. Unilateral sEMG was found to have lower amplitude, lower frequency content and a different rate of change of median frequency during fatiguing contractions. It was shown to overcome several disadvantages posed by the bilateral configuration and be more selective. Ag-AgCl has more favorable impedance characteristics and resulted in greater signal amplitudes. It was concluded that the new design is more suitable for detecting GG sEMG and allows more reliable interpretation of changes in sEMG due to physiological mechanisms, thus providing a new methodology for studying GG function and the role of fatigue in OSA.
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Affiliation(s)
- Ciara M O'Connor
- School of Electrical, Electronic & Mechanical Engineering, University College Dublin, Belfield, Dublin 4, Ireland.
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44
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Abstract
Even though the introduction of the role of the nurse prescriber promises improved access to medicines and increased flexibility in the workforce, the take-up of this role to date has been variable across the UK. This questionnaire-based study sought to compare the expectations of two distinct groups of nurses, one from a mental health and the other from a non-mental health background prior to becoming prescribers. Non-mental health nurses were of the opinion that being able to prescribe would increase efficiency and maximize resources, while mental health nurses saw prescribing primarily in terms of the benefits to clients--increased choice, improved access to care, better information about treatments and better quality of care.
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Affiliation(s)
- P Nolan
- Staffordshire University and South Staffordshire NHS Foundation Trust, Stafford, UK.
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45
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O'Connor C, van der Merwe L, Langran S, O'Sullivan M, Nolan P, Vaughan CL, O'Malley MJ. Correction to "Design of surface electrode array for measuring conduction velocity in the human genioglossus muscle". IEEE Trans Biomed Eng 2007. [DOI: 10.1109/tbme.2007.892249] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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46
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O'Connor CM, Langran S, O'Sullivan M, Nolan P, O'Malley M. Design of surface electrode array for electromyography in the genioglossus muscle. Conf Proc IEEE Eng Med Biol Soc 2007; 2004:2259-62. [PMID: 17272177 DOI: 10.1109/iembs.2004.1403657] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/13/2023]
Abstract
The patency of the upper airway is dependent on the sustained activity of upper airway muscles, in particular the genioglossus (GG) muscles which act to protrude the tongue. Obstructive sleep apnea syndrome (OSAS) is a common and serious disorder in which this mechanism fails, resulting in frequent collapse of the airway during sleep. The properties of the upper airway muscles are therefore of interest in both normal and OSAS subjects, so that their role in the pathogenesis of OSAS can be better understood. Electromyography (EMG) is an important tool for assessing muscle activity and has been used in many GG studies. We have designed a new appliance incorporating a surface electrode array for GG EMG recording. The electrode configuration enables estimation of muscle fibre conduction velocity (CV), an important parameter for monitoring muscle fatigue, which has not been studied before in the GG. The appliance is also designed to provide accurate and repeatable placement of electrodes. Preliminary results presented demonstrate the performance of our appliance, which will now be used to measure GG CV in a range of fatiguing conditions.
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Affiliation(s)
- C M O'Connor
- Department of Electronic & Electrical Engineering, University College Dublin, Ireland
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47
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O'Connor CM, van der Merwe L, der van Merwe L, Langran S, O'Sullivan M, Nolan P, Vaughan CL, O'Malley MJ. Design of Surface Electrode Array for Measuring Conduction Velocity in the Human Genioglossus Muscle. IEEE Trans Biomed Eng 2007; 54:335-9. [PMID: 17278591 DOI: 10.1109/tbme.2006.880911] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
A new appliance, incorporating linear arrays of pin electrodes for genioglossus (GG) surface electromyography measurement, is presented. This design enables the estimation of GG muscle fiber conduction velocity, which decreases with fatigue. The performance of the device was evaluated for ten healthy human subjects during fatiguing and force varying contractions.
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Affiliation(s)
- Ciara M O'Connor
- School of Electrical, Electronic and Mechanical Engineering, University College Dublin, Belfield, Ireland.
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48
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Andresen G, Bertsche W, Boston A, Bowe PD, Cesar CL, Chapman S, Charlton M, Chartier M, Deutsch A, Fajans J, Fujiwara MC, Funakoshi R, Gill DR, Gomberoff K, Hangst JS, Hayano RS, Hydomako R, Jenkins MJ, Jørgensen LV, Kurchaninov L, Madsen N, Nolan P, Olchanski K, Olin A, Povilus A, Robicheaux F, Sarid E, Silveira DM, Storey JW, Telle HH, Thompson RI, van der Werf DP, Wurtele JS, Yamazaki Y. Antimatter plasmas in a multipole trap for antihydrogen. Phys Rev Lett 2007; 98:023402. [PMID: 17358606 DOI: 10.1103/physrevlett.98.023402] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/10/2006] [Indexed: 05/14/2023]
Abstract
We have demonstrated storage of plasmas of the charged constituents of the antihydrogen atom, antiprotons and positrons, in a Penning trap surrounded by a minimum-B magnetic trap designed for holding neutral antiatoms. The neutral trap comprises a superconducting octupole and two superconducting, solenoidal mirror coils. We have measured the storage lifetimes of antiproton and positron plasmas in the combined Penning-neutral trap, and compared these to lifetimes without the neutral trap fields. The magnetic well depth was 0.6 T, deep enough to trap ground state antihydrogen atoms of up to about 0.4 K in temperature. We have demonstrated that both particle species can be stored for times long enough to permit antihydrogen production and trapping studies.
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Affiliation(s)
- G Andresen
- Department of Physics and Astronomy, Aarhus University, DK-8000 Aarhus C, Denmark
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49
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Abstract
Upper airway (UA) muscle activity is stimulated by changes in UA transmural pressure and by asphyxia. These responses are reduced by muscle relaxation. We hypothesized that this is due to a change in afferent feedback in the ansa hypoglossi and/or superior laryngeal nerve (SLN). We examined 1) the glossopharyngeal motor responses to UA transmural pressure and asphyxia and 2) how these responses were changed by muscle relaxation in animals where one or both of these afferent pathways had been sectioned bilaterally. Experiments were performed in 24 anesthetized, thoracotomized, artificially ventilated rats. Baseline glossopharyngeal activity and its response to UA transmural pressure and asphyxia were moderately reduced after bilateral section of the ansa hypoglossi (P < 0.05). Conversely, bilateral SLN section increased baseline glossopharyngeal activity, augmented the response to asphyxia, and abolished the response to UA transmural pressure. Muscle relaxation reduced resting glossopharyngeal activity and the response to asphyxia (P < 0.001). This occurred whether or not the ansa hypoglossi, the SLN, or both afferent pathways had been interrupted. We conclude that ansa hypoglossi afferents tonically excite and SLN afferents tonically inhibit UA motor activity. Muscle relaxation depressed UA motor activity after section of the ansa hypoglossi and SLN. This suggests that some or all of the response to muscle relaxation is mediated by alterations in the activity of afferent fibers other than those in the ansa hypoglossi or SLN.
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Affiliation(s)
- Stephen Ryan
- Department of Human Anatomy, Conway Institute for Biomolecular and Biomedical Research, Univ. College Dublin, Dublin 2, Ireland
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Abstract
Deformation of the upper airway (UA) by negative transmural pressure alters the activity of UA mechanoreceptors, causing a reflex increase in UA muscle activity. Topical anesthesia of the UA mucosa, which greatly reduces this reflex response, causes an increase in UA resistance during stage 2 sleep. We hypothesized that topical anesthesia of the UA mucosa would predispose to UA instability at sleep onset and, therefore, examined the effect of UA anesthesia on pharyngeal resistance (Rph) in stage 1 sleep. Eleven normal, healthy volunteers were instrumented to record standard polysomnographic variables, respiratory airflow, and UA pressure at the nasal choanae and the epiglottis. Subjects were permitted to sleep until stable stage 2 sleep was reached and were then awoken. This procedure was repeated three times to obtain reproducible wake-sleep transitions. The UA mucosa was then anesthetized with 10% lidocaine to the oropharynx and laryngopharynx, and the pharyngeal mechanics were studied during the subsequent wake-sleep transition. Three subjects were excluded because of failure to resume sleep postanesthesia. Rph was significantly higher after anesthesia during stage 1 sleep [2.88 ± 0.77 cmH2O·l−1·s (mean ± SE)] compared with control (0.95 ± 0.35 cmH2O·l−1·s; P < 0.05), but there was no difference during wakefulness. Furthermore, there was a significant rise in Rph at wake-to-sleep transitions and a significant fall in Rph at sleep-to-wake transitions after anesthesia ( P < 0.05) but not in the control condition. We conclude that sensory receptors in the UA mucosa contribute to the maintenance of UA patency at wake-sleep transition in normal humans.
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Affiliation(s)
- Liam S Doherty
- Dept. of Respiratory Medicine, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland
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