Mapping a quantitative trait locus involved in melanotic encapsulation of foreign bodies in the malaria vector, Anopheles gambiae

A Plasmodium-refractory strain of Anopheles gambiae melanotically encapsulates many species of Plasmodium, whereas wild-type mosquitoes are usually susceptible. This encapsulation trait can also be observed by studying the response of refractory and susceptible strains to intrathoracically injected CM-Sephadex beads. We report the results of broad-scale quantitative trait locus (QTL) mapping of the encapsulation trait using the bead model system. Interval mapping using the method of maximum likelihood identified one major QTL, Pen1. The 13.7-cM interval containing Pen1 was defined by marker AGH157 at 8E and AGH46 at 7A on 2R. Pen1 was associated with a maximum LOD score of 9.0 and accounted for 44% of the phenotypic variance in the distribution of phenotypes in the backcross. To test if this QTL is important for encapsulation of Plasmodium berghei, F2 progeny were infected with P. berghei and evaluated for degree of parasite encapsulation. For each of the two markers that define the interval containing Pen1, a significant difference of encapsulation was seen in progeny with at least one refractory allele in contrast with homozygous susceptible progeny. These results suggest that Pen1 is important for melanotic encapsulation of Plasmodium as well as beads.     

A shared genetic mechanism for melanotic encapsulation of CM-Sephadex beads and a malaria parasite, Plasmodium cynomolgi B, in the mosquito, Anopheles gambiae

Dialysis dose and malnutrition have a great impact on the clinical out come of chronic hemodialysis patients. The interrelationships between them, however, remain undefined. Thus, we performed a study to determine the effects of increasing the dialysis dose on serum albumin concentrations and mortality in hemodialysis patients. We examined urea kinetic modeling, biochemical nutritional indices, comorbid conditions, patient survival time, and annual mortality rate. Dialysis dose, measured by Kt/V, significantly increased from 1.3 +/- 0.3 in 1987 to 1.5 +/- 0.4 in 1990 and to 1.7 +/- 0.4 in 1993. Serum albumin level also increased from 3.8 +/- 0.4 g/dL in 1987 to 4.0 +/- 0.4 in 1990 and to 1.7 +/- 0.4 in 1993. In 1993, 76% of patients had Kt/V > or = 1.50 compared with 45% in 1990 and 28% in 1987, whereas 82% of patients had a serum albumin level > or 4.0 g/dL in 1993 compared with 58% in 1990 and 29% in 1987. Protein catabolic rate and hematocrit also increased from 1987 to 1993, but not serum cholesterol or triglyceride. The annual mortality rate declined from 16.1% in 1987 to 13.2% in 1990 and to 8.0% in 1993. The decrease in mortality appeared to be unrelated to differences in patient selection or comorbid conditions. Serum albumin levels, hematocrit, Kt/V, and protein catabolic rate were significantly related to patient survival after age, sex, and diabetic status had been adjusted. Furthermore, there was a positive correlation between Kt/Vs and serum albumin concentration (r = 0.216, P < 0.001). Thus it appears that increasing the dose of dialysis improves serum albumin levels and perhaps survival rate in hemodialysis patients as well.     

Structure and mechanical properties of polyethylene-fullerene composites

The microhardness of films of fullerene-polyethylene composites prepared by gelation from semidilute solution, using ultrahigh molecular weight polyethylene (PE) (6×10⁶), has been determined. The composite materials were characterized by optical microscopy and X-ray diffraction techniques. The microhardness of the films is shown to increase notably with the concentration of fullerene particles within the films. In addition, a substantial hardening of the composites is obtained after annealing the materials at high temperatures (T _a=130 °C) and long annealing times (t _a=10⁵s). The hardening of the composites with annealing temperature has been identified with the thickening of the PE crystalline lamellae. Comparison of X-ray scattering data and the microhardness values upon annealing leads to the conclusion of phase separation of C₆₀ molecules from the polyethylene crystals within the material. The temperature dependence is discussed in terms of the independent contribution of the PE matrix of the C₆₀ aggregates to the hardness value.     

Der Umgang mit „second victims“ als organisationsethische Aufgabe

Background and purpose

Adverse events and medical errors can have severe consequences for patients (“first victims”), but also for the involved health care professionals (“second victims”). Don Berwick, former director of the Boston Institute for Healthcare Improvement (USA), highlighted the support for “second victims” as an “ethical issue”. But there is no clarity about what “ethical issue” implies. This article aims to clarify this question from the perspective of organizational ethics.

Method

Starting with data from the literature, challenges are described and evaluated from the perspective of organizational ethics.

Results

Evidence suggests that current approaches for supporting “second victims” are not sufficiently effective to help professionals to cope with the psychological consequences of adverse patient events and medical errors. This not only has negative consequences for the involved professionals, but can also put patient safety again at risk. In the light of these data, an organizational ethics approach is needed to comply with Don Berwick’s claim to consider the support of “second victims” as an “ethical issue”. This approach fosters the congruence of the organization’s values that are declared and those that are practiced. Its normative foundation is rooted in the organization’s duty of care both for the patients and for the employees.

Conclusions

Using organizational ethics it is possible to conceptualize and visualize the support for “second victims” as a binding component of the safety culture of the organization. It is translated into the organization’s obligation to raise the awareness for the phenomenon and to provide the resources necessary to deal effectively with it, e.?g., evidence-based ethical guidelines, standardized procedures, staff training, and low-threshold coaching programs.

     

Integrated Data Management for a Fleet of Search‐and‐rescue Robots

Search‐and‐rescue operations have recently been confronted with the introduction of robotic tools that assist the human search‐and‐rescue workers in their dangerous but life‐saving job of searching for human survivors after major catastrophes. However, the world of search and rescue is highly reliant on strict procedures for the transfer of messages, alarms, data, and command and control over the deployed assets. The introduction of robotic tools into this world causes an important structural change in this procedural toolchain. Moreover, the introduction of search‐and‐rescue robots acting as data gatherers could potentially lead to an information overload toward the human search‐and‐rescue workers, if the data acquired by these robotic tools are not managed in an intelligent way. With that in mind, we present in this paper an integrated data combination and data management architecture that is able to accommodate real‐time data gathered by a fleet of robotic vehicles on a crisis site, and we present and publish these data in a way that is easy to understand by end‐users. In the scope of this paper, a fleet of unmanned ground and aerial search‐and‐rescue vehicles is considered, developed within the scope of the European ICARUS project. As a first step toward the integrated data‐management methodology, the different robotic systems require an interoperable framework in order to pass data from one to another and toward the unified command and control station. As a second step, a data fusion methodology will be presented, combining the data acquired by the different heterogenic robotic systems. The computation needed for this process is done in a novel mobile data center and then (as a third step) published in a software as a service (SaaS) model. The SaaS model helps in providing access to robotic data over ubiquitous Ethernet connections. As a final step, we show how the presented data‐management architecture allows for reusing recorded exercises with real robots and rescue teams for training purposes and teaching search‐and‐rescue personnel how to handle the different robotic tools. The system was validated in two experiments. First, in the controlled environment of a military testing base, a fleet of unmanned ground and aerial vehicles was deployed in an earthquake‐response scenario. The data gathered by the different interoperable robotic systems were combined by a novel mobile data center and presented to the end‐user public. Second, an unmanned aerial system was deployed on an actual mission with an international relief team to help with the relief operations after major flooding in Bosnia in the spring of 2014. Due to the nature of the event (floods), no ground vehicles were deployed here, but all data acquired by the aerial system (mainly three‐dimensional maps) were stored in the ICARUS data center, where they were securely published for authorized personnel all over the world. This mission (which is, to our knowledge, the first recorded deployment of an unmanned aerial system by an official governmental international search‐and‐rescue team in another country) proved also the concept of the procedural integration of the ICARUS data management system into the existing procedural toolchain of the search and rescue workers, and this in an international context (deployment from Belgium to Bosnia). The feedback received from the search‐and‐rescue personnel on both validation exercises was highly positive, proving that the ICARUS data management system can efficiently increase the situational awareness of the search‐and‐rescue personnel.     

Optimization of a plate with holes

We consider a simply supported plate with constant thickness, defined on an unknown multiply connected domain. We optimize its shape according to some given performance functional. Our method is of fixed domain type, easy to be implemented, based on a fictitious domain approach and the control variational method. The algorithm that we introduce is of gradient type and performs simultaneous topological and boundary variations. Numerical experiments are also included and show its efficiency.     

Anti-vibration Engineering in Internal Turning Using a Carbon Nanocomposite Damping Coating Produced by PECVD Process

Machining dynamic stability has been enhanced through a damping coating based on a novel carbon-based nanocomposite material. The coating was synthesized using a plasma enhanced chemical vapor deposition method, and deposited on to the round-shank boring bar used for internal turning and tested during machining. Comparisons between an uncoated and a coated boring bar were carried out at 0.25 mm and 0.5 mm depth of cut using a five times length to diameter ratio overhang, which are typical conditions known to generate detrimental mechanical vibrations. From sound pressure measurement it was found that the measured absolute sound level during process could be reduced by about 90% when using the tool coated with damping layer. Surface roughness measurements of the processed workpiece showed decreased Ra values from approximately 3-6 μm to less than 2 μm (and in 50% of the cases <1 μm) when comparing an uncoated standard tool with its coated counterpart. Moreover, it was found that the addition of an anti-vibration coating did not adversely affect other tool properties, such as rigidity and modularity.