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Showing papers by "University of Adelaide published in 2004"


Journal ArticleDOI
TL;DR: It is suggested that PDL contains stem cells that have the potential to generate cementum/PDL-like tissue in vivo and transplantation of these cells might hold promise as a therapeutic approach for reconstruction of tissues destroyed by periodontal diseases.

3,063 citations


Journal ArticleDOI
TL;DR: Genome sequences reveal that a deluge of DNA from organelle DNA has constantly been bombarding the nucleus since the origin of organelles, abolished organelle autonomy and increased nuclear complexity.
Abstract: Genome sequences reveal that a deluge of DNA from organelles has constantly been bombarding the nucleus since the origin of organelles. Recent experiments have shown that DNA is transferred from organelles to the nucleus at frequencies that were previously unimaginable. Endosymbiotic gene transfer is a ubiquitous, continuing and natural process that pervades nuclear DNA dynamics. This relentless influx of organelle DNA has abolished organelle autonomy and increased nuclear complexity.

1,324 citations



Journal ArticleDOI
TL;DR: The EDE-Q has good concurrent validity and acceptable criterion validity, and the measure appears well-suited to use in prospective epidemiological studies.

964 citations


Journal ArticleDOI
J. Abraham1, Marco Aglietta, I. C. Aguirre, Michael Albrow2  +353 moreInstitutions (43)
01 May 2004
TL;DR: The first phase of the Pierre Auger Observatory has been completed and all of the sub-systems that will be used in the full instrument to be tested under field conditions as discussed by the authors.
Abstract: Construction of the first stage of the Pierre Auger Observatory has begun. The aim of the Observatory is to collect unprecedented information about cosmic rays above 1018 eV. The first phase of the project, the construction and operation of a prototype system, known as the engineering array, has now been completed. It has allowed all of the sub-systems that will be used in the full instrument to be tested under field conditions. In this paper, the properties and performance of these sub-systems are described and their success illustrated with descriptions of some of the events recorded thus far. © 2003 Elsevier B.V. All rights reserved.

775 citations


Journal ArticleDOI
TL;DR: The placenta acts to provide oxygen and nutrients to the fetus, whilst removing carbon dioxide and other waste products, and metabolises a number of substances and can release metabolic products into maternal and/or fetal circulations.

751 citations


Journal ArticleDOI
TL;DR: The definition of sudden infant death syndrome (SIDS) originally appeared in 1969 and was modified 2 decades later, justifying additional refinement of the definition to incorporate epidemiologic features, risk factors, pathological features, and ancillary test findings.
Abstract: The definition of sudden infant death syndrome (SIDS) originally appeared in 1969 and was modified 2 decades later. During the following 15 years, an enormous amount of additional information has emerged, justifying additional refinement of the definition of SIDS to incorporate epidemiologic features, risk factors, pathologic features, and ancillary test findings. An expert panel of pediatric and forensic pathologists and pediatricians considered these issues and developed a new general definition of SIDS for administrative and vital statistics purposes. The new definition was then stratified to facilitate research into sudden infant death. Another category, defined as unclassified sudden infant deaths, was introduced for cases that do not meet the criteria for a diagnosis of SIDS and for which alternative diagnoses of natural or unnatural conditions were equivocal. It is anticipated that these new definitions will be modified in the future to accommodate new understanding of SIDS and sudden infant death.

736 citations


Journal ArticleDOI
TL;DR: In this article, numerical simulations are used to compare the resolution and efficiency of 2D resistivity imaging surveys for 10 electrode arrays, including pole-pole (PP), pole-dipole (PD), half-Wenner (HW), Wenner-α (WN), Schlumberger (SC), dipole-dipsole (DD), WenNER-β (WB), γ -array (GM), multiple or moving gradient array (GD) and midpoint-potential-referred measurement (MPR) arrays.
Abstract: Numerical simulations are used to compare the resolution and efficiency of 2D resistivity imaging surveys for 10 electrode arrays. The arrays analysed include polepole (PP), pole-dipole (PD), half-Wenner (HW), Wenner-α (WN), Schlumberger (SC), dipole-dipole (DD), Wenner-β (WB), γ -array (GM), multiple or moving gradient array (GD) and midpoint-potential-referred measurement (MPR) arrays. Five synthetic geological models, simulating a buried channel, a narrow conductive dike, a narrow resistive dike, dipping blocks and covered waste ponds, were used to examine the surveying efficiency (anomaly effects, signal-to-noise ratios) and the imaging capabilities of these arrays. The responses to variations in the data density and noise sensitivities of these electrode configurations were also investigated using robust (L1-norm) inversion and smoothness-constrained least-squares (L2-norm) inversion for the five synthetic models. The results show the following. (i) GM and WN are less contaminated by noise than the other electrode arrays. (ii) The relative anomaly effects for the different arrays vary with the geological models. However, the relatively high anomaly effects of PP, GM and WB surveys do not always give a high-resolution image. PD, DD and GD can yield better resolution images than GM, PP, WN and WB, although they are more susceptible to noise contamination. SC is also a strong candidate but is expected to give more edge effects. (iii) The imaging quality of these arrays is relatively robust with respect to reductions in the data density of a multi-electrode layout within the tested ranges. (iv) The robust inversion generally gives better imaging results than the L2-norm inversion, especially with noisy data, except for the dipping block structure presented here. (v) GD and MPR are well suited to multichannel surveying and GD may produce images that are comparable to those obtained with DD and PD. Accordingly, the GD, PD, DD and SC arrays are strongly recommended for 2D resistivity imaging, where the final choice will be determined by the expected geology, the purpose of the survey and logistical considerations.

731 citations


Journal ArticleDOI
TL;DR: In this article, a closed-form analytical solution is presented which is capable of predicting the entire debonding propagation process, in which the realistic bi-linear local bond slip law is employed.

673 citations


Journal ArticleDOI
TL;DR: In the financial year ending June 2002, 26 689 hip replacements and 26089 knee replacements (total, 52778) were performed in Australia as mentioned in this paper, with a combined increase in hip and knee replacement of 13.4% in the past year.
Abstract: In the financial year ending June 2002, 26 689 hip replacements and 26089 knee replacements (total, 52778) were performed in Australia. Hip and knee replacement procedures have increased between 5%-10% each year for the past 10 years, with a combined increase in hip and knee replacement of 13.4% in the past year. The revision rate for hip replacement surgery in Australia is unknown but is estimated to be 20%-24%; the revision rate for hip replacement surgery in Sweden is 7%. Although data collection for the Registry is voluntary, it has 100% compliance from hospitals undertaking joint-replacement surgery.

620 citations


Journal ArticleDOI
TL;DR: AM colonisation can result in complete inactivation of the direct P uptake pathway via root hairs and epidermis; calculations of AM contributions to P uptake from total plant P will often be highly inaccurate; and lack of plant responsiveness does not mean that an AM fungus makes no contribution toP uptake.
Abstract: Summary • We investigated structural and functional diversity in arbuscular mycorrhizal (AM) symbioses involving three plant species and three AM fungi and measured contributions of the fungi to P uptake using compartmented pots and 33P. The plant/fungus combinations varied in growth and P responses. Flax (Linum usitatissimum) responded positively to all fungi, and medic (Medicago truncatula) to Glomus caledonium and G. intraradices, but not Gigaspora rosea. Tomato (Lycopersicon esculentum) showed no positive responses. • Hyphal growth in soil was very low for Gi. rosea and high for both Glomus spp. Hyphal lengths in root + hyphal compartment (RHC) and hyphal compartment (HC) were similar for G. intraradices, but much higher in HC for G. caledonium. • Specific activities of 33P in plants and soil indicated that fungal P uptake made substantial contributions to five plant/fungus combinations and significant contributions to a further two. G. intraradices delivered close to 100% of the P in all three plants. G. caledonium and Gi. rosea delivered less P. The amount was not related to colonisation or to growth or P responses. • We conclude that: AM colonisation can result in complete inactivation of the direct P uptake pathway via root hairs and epidermis; calculations of AM contributions to P uptake from total plant P will often be highly inaccurate; and lack of plant responsiveness does not mean that an AM fungus makes no contribution to P uptake.

Journal ArticleDOI
TL;DR: Depression for those with diabetes is an important comorbidity that requires careful management because of its severe impact on quality of life.
Abstract: OBJECTIVE —The aim of the study was to assess the prevalence of diabetes and depression and their associations with quality of life using a representative population sample. RESEARCH DESIGN AND METHODS —The study consisted of a representative population sample of individuals aged ≥15 years living in South Australia comprising 3,010 personal interviews conducted by trained health interviewers. The prevalence of depression in those suffering doctor-diagnosed diabetes and comparative effects of diabetic status and depression on quality-of-life dimensions were measured. RESULTS —The prevalence of depression in the diabetic population was 24% compared with 17% in the nondiabetic population. Those with diabetes and depression experienced an impact with a large effect size on every dimension of the Short Form Health-Related Quality-of-Life Questionnaire (SF-36) as compared with those who suffered diabetes and who were not depressed. A supplementary analysis comparing both depressed diabetic and depressed nondiabetic groups showed there were statistically significant differences in the quality-of-life effects between the two depressed populations in the physical and mental component summaries of the SF-36. CONCLUSIONS —Depression for those with diabetes is an important comorbidity that requires careful management because of its severe impact on quality of life.

Journal ArticleDOI
TL;DR: Elucidating the nature of oocyte-somatic cell interactions at the various stages of follicle development will have important implications for the understanding of factors regulating folliculogenesis, ovulation rate and fecundity.

Journal ArticleDOI
TL;DR: It is anticipated that developing a detailed mechanistic and structural understanding of bHLH/PAS proteins will ultimately facilitate drug design.

Proceedings ArticleDOI
25 Oct 2004
TL;DR: It is argued that measurement based automated Class of Service (CoS) mapping is an important practical problem that needs to be studied, and a solution framework for measurement based classification of traffic for QoS based on statistical application signatures is outlined.
Abstract: The ability to provide different Quality of Service (QoS) guarantees to traffic from different applications is a highly desired feature for many IP network operators, particularly for enterprise networks. Although various mechanisms exist for providing QoS in the network, QoS is yet to be widely deployed. We believe that a key factor holding back widespread QoS adoption is the absence of suitable methodologies/processes for appropriately mapping the traffic from different applications to different QoS classes. This is a challenging task, because many enterprise network operators who are interested in QoS do not know all the applications running on their network, and furthermore, over recent years port-based application classification has become problematic. We argue that measurement based automated Class of Service (CoS) mapping is an important practical problem that needs to be studied.In this paper we describe the requirements and associated challenges, and outline a solution framework for measurement based classification of traffic for QoS based on statistical application signatures. In our approach the signatures are chosen in such as way as to make them insensitive to the particular application layer protocol, but rather to determine the way in which an application is used -- for instance is it used interactively, or for bulk-data transport. The resulting application signature can then be used to derive the network layer signatures required to determine the CoS class for individual IP datagrams. Our evaluations using traffic traces from a variety of network locations, demonstrate the feasibility and potential of the approach.

Journal ArticleDOI
TL;DR: Oral HT is highly effective in alleviating hot flushes and night sweats and must be assessed in blinded trials against a placebo or a validated therapy because of the large placebo effect seen in well conducted randomised controlled trials, and also because during menopause symptoms may fluctuate and after menopausal symptoms often decline.
Abstract: Background Hot flushes and night sweats are common symptoms experienced by menopausal women. Hormone therapy (HT), containing oestrogens alone or oestrogens together with progestogens in a cyclic or continuous regimen, is often recommended for their alleviation. Objectives To examine the effect of oral HT compared to placebo on these vasomotor symptoms and the risk of early onset side-effects. Search methods We searched the Cochrane Menstrual Disorders Group and Subfertility Group trials register (searched May 2002). This register is based on regular searches of MEDLINE, EMBASE, CINAHL, the Cochrane Central Register of Controlled Trials (CENTRAL), PsycINFO, the handsearching of 20 relevant journals and conference proceedings, and searches of several key grey literature sources. We also contacted all relevant pharmaceutical companies, The Journal of the International Menopause Society and Climacteric. Selection criteria Double-blind, randomised, placebo-controlled trials of oral HT for at least three months duration. Data collection and analysis Study quality and outcome data were assessed independently. Random effects models were considered appropriate due to the variety of trial methodologies. The meta-analyses were explored for sensitivity to trial quality and therapy duration. Symptom frequency and severity were assessed separately, together with withdrawals and side-effects. Frequency data were analysed using the Weighted Mean Difference (WMD) between treatment and placebo outcomes. For severity data, odds ratios were estimated from the proportional odds model. From 115 references originally identified, 24 trials meeting the selection criteria were included in the review. Study participants totaled 3,329. Trial duration ranged from three months to three years. Main results There was a significant reduction in the weekly hot flush frequency for HT compared to placebo (WMD -17.92, 95% CI -22.86 to -12.99). This was equivalent to a 75% reduction in frequency (95% CI 64.3 to 82.3) for HT relative to placebo. Symptom severity was also significantly reduced compared to placebo (OR 0.13, 95% CI 0.07 to 0.23). Withdrawal for lack of efficacy occurred significantly more often on placebo therapy (OR 10.51, 95% CI 5.00 to 22.09). Withdrawal for adverse events, commonly breast tenderness, oedema, joint pain and psychological symptoms, was not significantly increased (OR 1.25, 95% CI 0.83 to 1.90), although the occurrence of any adverse events was significantly increased for HT (OR 1.41, 95% CI 1.00 to 1.99). In women who were randomised to placebo treatment, a 57.7% (95% CI 45.1 to 67.7) reduction in hot flushes was observed between baseline and end of study. Authors' conclusions Oral HT is highly effective in alleviating hot flushes and night sweats. Therapies purported to reduce such symptoms must be assessed in blinded trials against a placebo or a validated therapy because of the large placebo effect seen in well conducted randomised controlled trials, and also because during menopause symptoms may fluctuate and after menopause symptoms often decline. Withdrawals due to side-effects were only marginally increased in the HT groups despite the inability to tailor HT in these fixed dose trials. Comparisons of hormonal doses, product types or regimens require analysis of trials with these specific "within study" comparisons.

Journal ArticleDOI
TL;DR: CDKL5 is confirmed as another locus associated with epilepsy and X-linked mental retardation and suggested that mutations in CDKL 5 can lead to a clinical phenotype that overlaps RTT, however, it remains to be determined whether CDkL5 mutations are more prevalent in specific clinical subgroups of RTT or in other clinical presentations.
Abstract: Rett syndrome (RTT) is a severe neurodevelopmental disorder caused, in most classic cases, by mutations in the X-linked methyl-CpG-binding protein 2 gene (MECP2). A large degree of phenotypic variation has been observed in patients with RTT, both those with and without MECP2 mutations. We describe a family consisting of a proband with a phenotype that showed considerable overlap with that of RTT, her identical twin sister with autistic disorder and mild-to-moderate intellectual disability, and a brother with profound intellectual disability and seizures. No pathogenic MECP2 mutations were found in this family, and the Xq28 region that contains the MECP2 gene was not shared by the affected siblings. Three other candidate regions were identified by microsatellite mapping, including 10.3 Mb at Xp22.31-pter between Xpter and DXS1135, 19.7 Mb at Xp22.12-p22.11 between DXS1135 and DXS1214, and 16.4 Mb at Xq21.33 between DXS1196 and DXS1191. The ARX and CDKL5 genes, both of which are located within the Xp22 region, were sequenced in the affected family members, and a deletion of nucleotide 183 of the coding sequence (c.183delT) was identified in CDKL5 in the affected family members. In a screen of 44 RTT cases, a single splice-site mutation, IVS13-1G→A, was identified in a girl with a severe phenotype overlapping RTT. In the mouse brain, Cdkl5 expression overlaps—but is not identical to—that of Mecp2, and its expression is unaffected by the loss of Mecp2. These findings confirm CDKL5 as another locus associated with epilepsy and X-linked mental retardation. These results also suggest that mutations in CDKL5 can lead to a clinical phenotype that overlaps RTT. However, it remains to be determined whether CDKL5 mutations are more prevalent in specific clinical subgroups of RTT or in other clinical presentations.

Journal ArticleDOI
TL;DR: Age, number of teeth and cultural background are important variables influencing oral health-related quality of life.
Abstract: – Age and loss of teeth can be expected to have a complex relationship with oral health-related quality of life. This study aimed to explain how age and tooth loss affect the impact of oral health on daily living using the short form, 14-item Oral Health Impact Profile (OHIP-14) on national population samples of dentate adults from the UK (1998 UK Adult Dental Health Survey) and Australia (1999 National Dental Telephone Interview Survey). After correcting for key covariables, increasing age was associated with better mean impact scores in both populations. Those aged 30–49 years in Australia showed the worst (highest) scores. In the UK, those aged under 30 showed the highest scores. In both countries, adults aged 70+ showed much better scores than the rest (P < 0.001). When corrected for age, the independent effect of tooth loss was that the worst scores were found where there were fewer than 17 natural teeth in the UK and fewer than 21 teeth in Australia. People with 25 or more teeth averaged much better scores than all other groups (P < 0.001), although there were differences in pattern between countries. When Australians were analysed by region of birth, the pattern of scores by tooth loss for British/Irish immigrants was strikingly similar to that for the UK sample. First-generation immigrants from elsewhere showed much worse overall scores and a profoundly different pattern to the Australian- and British-born groups. Age, number of teeth and cultural background are important variables influencing oral health-related quality of life.

Journal ArticleDOI
TL;DR: The findings of this study provide a potential clinical reasoning framework for the adoption of emerging models of impairment and disability in physical therapy.
Abstract: Background and Purpose. Clinical reasoning remains a relatively under-researched subject in physical therapy. The purpose of this qualitative study was to examine the clinical reasoning of expert physical therapists in 3 different fields of physical therapy: orthopedic (manual) physical therapy, neurological physical therapy, and domiciliary care (home health) physical therapy. Subjects. The subjects were 6 peer-designated expert physical therapists (2 from each field) nominated by leaders within the Australian Physiotherapy Association and 6 other interviewed experts representing each of the same 3 fields. Methods. Guided by a grounded theory method, a multiple case study approach was used to study the clinical practice of the 6 physical therapists in the 3 fields. Results. A model of clinical reasoning in physical therapy characterized by the notion of “clinical reasoning strategies” is proposed by the authors. Within these clinical reasoning strategies, the application of different paradigms of knowledge and their interplay within reasoning is termed “dialectical reasoning.” Discussion and Conclusion. The findings of this study provide a potential clinical reasoning framework for the adoption of emerging models of impairment and disability in physical therapy.

Journal ArticleDOI
TL;DR: Chytridiomycosis is a major cause of mortality in free-living and captive amphibians in Australia and mortality rate increases at lower temperatures.
Abstract: Objective To investigate the distribution and incidence of chytridiomycosis in eastern Australian frogs and to examine the effects of temperature on this disease. Design A pathological survey and a transmission experiment were conducted. Procedure Diagnostic pathology examinations were performed on free-living and captive, ill and dead amphibians collected opportunistically from eastern Australia between October 1993 and December 2000. We conducted a transmission experiment in the laboratory to investigate the effects of temperature: eight great barred frogs (Mixophyes fasciolatus) exposed to zoospores of Batrachochytrium dendrobatidis and six unexposed frogs were housed individually in each of three rooms held at 17°C, 23°C and 27°C. Results Chytridiomycosis was the cause of death or morbidity for 133 (55.2%) of 241 free-living amphibians and for 66 (58.4%) of 113 captive amphibians. This disease occurred in 34 amphibian species, was widespread around the eastern seaboard of Australia and affected amphibians in a variety of habitats at high and low altitudes on or between the Great Dividing Range and the coast. The incidence of chytridiomycosis was higher in winter, with 53% of wild frogs from Queensland and New South Wales dying in July and August. Other diseases were much less common and were detected mostly in spring and summer. In experimental infections, lower temperatures enhanced the pathogenicity of B dendrobatidis in M fasciolatus. All 16 frogs exposed to B dendrobatidis at 17°C and 23°C died, whereas 4 of 8 frogs exposed at 27°C survived. However, the time until death for the frogs that died at 27°C was shorter than at the lower temperatures. Infections in survivors were eliminated by 98 days. Conclusion Chytridiomycosis is a major cause of mortality in free-living and captive amphibians in Australia and mortality rate increases at lower temperatures.

Journal ArticleDOI
TL;DR: Following the initial assessment of infertility and body mass index or other measurement of obesity, various weight management interventions, including diet, exercise or pharmacotherapeutic approaches, should be considered for overweight and obese infertile women.
Abstract: Obesity and overweight are common conditions in the developed countries and they carry many health consequences, including some reproductive disorders. There is a very high prevalence of obese women in the infertile population and many studies have highlighted the link between obesity and infertility. A large proportion of infertile women have polycystic ovary syndrome (PCOS) which is also linked with increased risk of obesity and other metabolic anomalies. The association between obesity and/or PCOS and hyperinsulinaemia, hyper androgenism and abnormal secretion of other hormones, such as leptin, underlies many reproductive disorders observed in this population. It has been demonstrated that weight loss can improve the fertility of obese women through the recovery of spontaneous ovulation, whereas others will have improved response to ovarian stimulation in infertility treatment. Therefore, it is proposed that following the initial assessment of infertility and body mass index or other measurement of obesity, various weight management interventions, including diet, exercise or pharmacotherapeutic approaches, should be considered for overweight and obese infertile women.

Journal ArticleDOI
TL;DR: It is not only the intensity of light at different depths, but also its distribution in space, which has been a major force in the evolution of deep‐sea vision, is reviewed in support of the following conclusion.
Abstract: The deep sea is the largest habitat on earth. Its three great faunal environments--the twilight mesopelagic zone, the dark bathypelagic zone and the vast flat expanses of the benthic habitat--are home to a rich fauna of vertebrates and invertebrates. In the mesopelagic zone (150-1000 m), the down-welling daylight creates an extended scene that becomes increasingly dimmer and bluer with depth. The available daylight also originates increasingly from vertically above, and bioluminescent point-source flashes, well contrasted against the dim background daylight, become increasingly visible. In the bathypelagic zone below 1000 m no daylight remains, and the scene becomes entirely dominated by point-like bioluminescence. This changing nature of visual scenes with depth--from extended source to point source--has had a profound effect on the designs of deep-sea eyes, both optically and neurally, a fact that until recently was not fully appreciated. Recent measurements of the sensitivity and spatial resolution of deep-sea eyes--particularly from the camera eyes of fishes and cephalopods and the compound eyes of crustaceans--reveal that ocular designs are well matched to the nature of the visual scene at any given depth. This match between eye design and visual scene is the subject of this review. The greatest variation in eye design is found in the mesopelagic zone, where dim down-welling daylight and bio-luminescent point sources may be visible simultaneously. Some mesopelagic eyes rely on spatial and temporal summation to increase sensitivity to a dim extended scene, while others sacrifice this sensitivity to localise pinpoints of bright bioluminescence. Yet other eyes have retinal regions separately specialised for each type of light. In the bathypelagic zone, eyes generally get smaller and therefore less sensitive to point sources with increasing depth. In fishes, this insensitivity, combined with surprisingly high spatial resolution, is very well adapted to the detection and localisation of point-source bioluminescence at ecologically meaningful distances. At all depths, the eyes of animals active on and over the nutrient-rich sea floor are generally larger than the eyes of pelagic species. In fishes, the retinal ganglion cells are also frequently arranged in a horizontal visual streak, an adaptation for viewing the wide flat horizon of the sea floor, and all animals living there. These and many other aspects of light and vision in the deep sea are reviewed in support of the following conclusion: it is not only the intensity of light at different depths, but also its distribution in space, which has been a major force in the evolution of deep-sea vision.

Journal ArticleDOI
TL;DR: Analysis of the sensitivity to B of a range of metabolic processes including photosynthesis, respiration and protein synthesis leads to the conclusion that growth is not restricted by effects of B on energy supply and not directly by inhibition of protein synthesis.
Abstract: This study investigated the main factors contributing to boron toxicity in plants. Growth was rapidly inhibited by internal B concentrations in the range 1–5 m m across a range of plant types that included monocot, dicot and algal species. In contrast, mature cells were able to withstand up to 60 m m B for several days. In wheat, rapid inhibition of root growth occurred if high B was applied to the root tip, but not if high B was applied to mature sections of the root. In leaves, there were gradations in B concentrations that correlated with visible symptoms of toxicity. However, there was no evidence to support the hypothesis that toxicity in leaves is due to osmotic stress induced by the accumulation of B. Analysis of the sensitivity to B of a range of metabolic processes including photosynthesis, respiration and protein synthesis leads to the conclusion that growth is not restricted by effects of B on energy supply and not directly by inhibition of protein synthesis. At higher B concentrations, many cellular activities were found to be partially inhibited and the toxicity to mature tissues was therefore considered not to arise from the disruption of a single process, but from the accumulated retardation of many cellular processes, exacerbated in light by photo-oxidative stress.

Journal ArticleDOI
TL;DR: Examination of attitudes of medical and nursing staff towards reporting incidents (adverse events and near‐misses) and measures to facilitate incident reporting are examined.
Abstract: Objectives (i) To examine attitudes of medical and nursing staff towards reporting incidents (adverse events and near-misses), and (ii) to identify measures to facilitate incident reporting. Design Qualitative study. In March 2002, semistructured questions were administered to five focus groups--one each for consultants, registrars, resident medical officers, senior nurses, and junior nurses. Participants and setting 14 medical and 19 nursing staff recruited using purposive sampling from three metropolitan public hospitals in Adelaide, South Australia. Main outcome measures Attitudes and barriers to incident reporting; differences in reporting behaviour between disciplines; how to facilitate incident reporting. Results Cultural differences between doctors and nurses, identified using Triandis' theory of social behaviour, were found to underpin attitudes to incident reporting. Nurses reported more habitually than doctors due to a culture which provided directives, protocols and the notion of security, whereas the medical culture was less transparent, favoured dealing with incidents "in-house" and was less reliant on directives. Common barriers to reporting incidents included time constraints, unsatisfactory processes, deficiencies in knowledge, cultural norms, inadequate feedback, beliefs about risk, and a perceived lack of value in the process. Conclusions Strategies to improve incident reporting must address cultural issues.

Journal ArticleDOI
TL;DR: The well-characterized clotting cascade in horseshoe crabs is strongly activated by bacterial elicitors, in contrast to vertebrate clotting where induction relies more on endogenous signals.

Posted Content
TL;DR: In this article, the authors examined the effects of the multiple dimensions of intangibility on the various types of risk and found that, of the three dimensions, physical Intangibility was the least correlated to the consumers' perception of risk in most situations, whereas mentalIntangibility and generality had a great impact on most dimensions of perceived risk.
Abstract: Studies have found that product intangibility increases consumers’ perception of risk. However, most of these studies measured the intangibility and perceived risk constructs unidimensionally. The primary objective of this article is to examine the effects of the multiple dimensions of intangibility on the various types of risk. An empirical investigation revealed that, of the three intangibility dimensions, physical intangibility was the least correlated to the consumers’ perception of risk in most situations, whereas mental intangibility and generality had a great impact on most dimensions of perceived risk. However, there were variations in the strength of the relationships between the intangibility dimensions and the risk dimensions when contrasting goods and services, generic products and brands, and online and offline purchase contexts. Theoretical and practical contributions to the service marketing literature are discussed.

Journal ArticleDOI
30 Jul 2004-Science
TL;DR: A new genus, Osedax, and two new species of annelids with females that consume the bones of dead whales via ramifying roots are described, which belongs to the Siboglinidae, which includes pogonophoran and vestimentiferan worms from deep-sea vents, seeps, and anoxic basins.
Abstract: We describe a new genus, Osedax, and two new species of annelids with females that consume the bones of dead whales via ramifying roots. Molecular and morphological evidence revealed that Osedax belongs to the Siboglinidae, which includes pogonophoran and vestimentiferan worms from deep-sea vents, seeps, and anoxic basins. Osedax has skewed sex ratios with numerous dwarf (paedomorphic) males that live in the tubes of females. DNA sequences reveal that the two Osedax species diverged about 42 million years ago and currently maintain large populations ranging from 105 to 106 adult females.

Journal ArticleDOI
TL;DR: Findings suggest that the toxin secreted by the Shiga toxigenic Escherichia coli O113:H21 strain 98NK2 may contribute to the pathogenesis of human disease.
Abstract: The Shiga toxigenic Escherichia coli (STEC) O113:H21 strain 98NK2, which was responsible for an outbreak of hemolytic uremic syndrome, secretes a highly potent and lethal subtilase cytotoxin that is unrelated to any bacterial toxin described to date. It is the prototype of a new family of AB5 toxins, comprising a single 35-kilodalton (kD) A subunit and a pentamer of 13-kD B subunits. The A subunit is a subtilase-like serine protease distantly related to the BA_2875 gene product of Bacillus anthracis . The B subunit is related to a putative exported protein from Yersinia pestis , and binds to a mimic of the ganglioside GM2. Subtilase cytotoxin is encoded by two closely linked, cotranscribed genes ( subA and subB ), which, in strain 98NK2, are located on a large, conjugative virulence plasmid. Homologues of the genes are present in 32 out of 68 other STEC strains tested. Intraperitoneal injection of purified subtilase cytotoxin was fatal for mice and resulted in extensive microvascular thrombosis, as well as necrosis in the brain, kidneys, and liver. Oral challenge of mice with E. coli K-12–expressing cloned subA and subB resulted in dramatic weight loss. These findings suggest that the toxin may contribute to the pathogenesis of human disease.

Journal ArticleDOI
TL;DR: In this article, the first Chern class with the fiberwise integral of the H-flux is replaced by the second Chern class, which is the fiber-wise integral function of the background flux of the twisted K-theory.
Abstract: T-duality acts on circle bundles by exchanging the first Chern class with the fiberwise integral of the H-flux, as we motivate using E 8 and also using S-duality. We present known and new examples including NS5-branes, nilmanifolds, lens spaces, both circle bundles over P n , and the AdS 5 ×S 5 to AdS 5 × P 2 ×S 1 with background H-flux of Duff, Lu and Pope. When T-duality leads to M-theory on a non-spin manifold the gravitino partition function continues to exist due to the background flux, however the known quantization condition for G 4 receives a correction. In a more general context, we use correspondence spaces to implement isomorphisms on the twisted K-theories and twisted cohomology theories and to study the corresponding Grothendieck-Riemann-Roch theorem. Interestingly, in the case of decomposable twists, both twisted theories admit fusion products and so are naturally rings.

Journal ArticleDOI
TL;DR: Values for the total uptake of As show that As in –P rice plants was mainly concentrated in the DCB-extracts or on the surface of rice roots, whereas most arsenic in +P plants was accumulated in the roots, indicating that iron plaque might sequestrate As, and consequently reduce the translocation of arsenic from roots to shoots.
Abstract: Summary • A hydroponic experiment was conducted to investigate the effect of phosphorus (P) nutrition and iron plaque on root surfaces on arsenate uptake by, and translocation within, the seedlings of three cultivars of rice (Oryza sativa). • Supply of 0.5 mg As l−1 had no significant effects on dry weights of shoots or roots, but resulted in elevated concentrations of As in tissues, particularly in roots. Rice roots appeared reddish after 24 h in –P solution (without P), indicating the formation of iron plaque. • Arsenic concentrations in iron plaque (determined in dithionite–citrate–bicarbonate (DCB)-extracts) were significantly higher in –P plants (up to 1180 mg kg−1 in cultivar CDR22) than in +P plants. Concentrations of arsenic in shoots were significantly lower in –P plants than in +P plants. This indicates that iron plaque might sequestrate As, and consequently reduce the translocation of arsenic from roots to shoots. • Values for the total uptake of As show that As in –P rice plants was mainly concentrated in the DCB-extracts or on the surface of rice roots, whereas most arsenic in +P plants was accumulated in the roots. Arsenic significantly decreased the concentrations of iron (Fe) in roots and shoots (P < 0.001) and slightly reduced P concentrations in shoots, except for the –P cultivar CDR22.