The allocation of surgeries to operating rooms (ORs) is a challenging combinatorial optimization problem. There is also significant uncertainty in the duration of surgical procedures, which further ...complicates assignment decisions. In this paper, we present stochastic optimization models for the assignment of surgeries to ORs on a given day of surgery. The objective includes a fixed cost of opening ORs and a variable cost of overtime relative to a fixed length-of-day. We describe two types of models. The first is a two-stage stochastic linear program with binary decisions in the first stage and simple recourse in the second stage. The second is its robust counterpart, in which the objective is to minimize the maximum cost associated with an uncertainty set for surgery durations. We describe the mathematical models, bounds on the optimal solution, and solution methodologies, including an easy-to-implement heuristic. Numerical experiments based on real data from a large health-care provider are used to contrast the results for the two models and illustrate the potential for impact in practice. Based on our numerical experimentation, we find that a fast and easy-to-implement heuristic works fairly well, on average, across many instances. We also find that the robust method performs approximately as well as the heuristic, is much faster than solving the stochastic recourse model, and has the benefit of limiting the worst-case outcome of the recourse problem.
Excitatory interneurons in the superficial dorsal horn (SDH) are heterogeneous, and include a class known as vertical cells, which convey information to lamina I projection neurons. We recently used ...pro-NPFF antibody to reveal a discrete population of excitatory interneurons that express neuropeptide FF (NPFF). Here, we generated a new mouse line (NPFF
) in which Cre is knocked into the Npff locus, and used Cre-dependent viruses and reporter mice to characterise NPFF cell properties. Both viral and reporter strategies labelled many cells in the SDH, and captured most pro-NPFF-immunoreactive neurons (75-80%). However, the majority of labelled cells lacked pro-NPFF, and we found considerable overlap with a population of neurons that express the gastrin-releasing peptide receptor (GRPR). Morphological reconstruction revealed that most pro-NPFF-containing neurons were vertical cells, but these differed from GRPR neurons (which are also vertical cells) in having a far higher dendritic spine density. Electrophysiological recording showed that NPFF cells also differed from GRPR cells in having a higher frequency of miniature EPSCs, being more electrically excitable and responding to a NPY Y1 receptor agonist. Together, these findings indicate that there are at least two distinct classes of vertical cells, which may have differing roles in somatosensory processing.
Lamina II contains a large number of interneurons involved in modulation and transmission of somatosensory (including nociceptive) information. However, its neuronal circuitry is poorly understood ...due to the difficulty of identifying functional populations of interneurons. This information is important for understanding nociceptive processing and for identifying changes that underlie chronic pain. In this study, we compared morphology, neurotransmitter content, electrophysiological and pharmacological properties for 61 lamina II neurons recorded in slices from adult rat spinal cord. Morphology was related to transmitter content, since islet cells were GABAergic, while radial and most vertical cells were glutamatergic. However, there was considerable diversity among the remaining cells, some of which could not be classified morphologically. Transmitter phenotype was related to firing pattern, since most (18/22) excitatory cells, but few (2/23) inhibitory cells had delayed, gap or reluctant patterns, which are associated with A-type potassium (IA) currents. Somatostatin was identified in axons of 14/24 excitatory neurons. These had variable morphology, but most of those tested showed delayed-firing. Excitatory interneurons are therefore likely to contribute to pain states associated with synaptic plasticity involving IA currents. Although noradrenaline and serotonin evoked outward currents in both inhibitory and excitatory cells, somatostatin produced these currents only in inhibitory neurons, suggesting that its pro-nociceptive effects are mediated by disinhibition. Our results demonstrate that certain distinctive populations of inhibitory and excitatory interneuron can be recognised in lamina II. Combining this approach with identification of other neurochemical markers should allow further clarification of neuronal circuitry in the superficial dorsal horn.
Abstract
The bimodal absorption system imaging campaign (BASIC) aims to characterize the galaxy environments of a sample of 36 H
i
-selected partial Lyman limit systems (pLLSs) and Lyman limit ...systems (LLSs) in 23 QSO fields at
z
≲ 1. These pLLSs/LLSs provide a unique sample of absorbers with unbiased and well-constrained metallicities, allowing us to explore the origins of metal-rich and low-metallicity circumgalactic medium (CGM) at
z
< 1. Here we present Keck/KCWI and Very Large Telescope/MUSE observations of 11 of these QSO fields (19 pLLSs) that we combine with Hubble Space Telescope/Advanced Camera for Surveys imaging to identify and characterize the absorber-associated galaxies at 0.16 ≲
z
≲ 0.84. We find 23 unique absorber-associated galaxies, with an average of one associated galaxy per absorber. For seven absorbers, all with <10% solar metallicities, we find no associated galaxies with
log
M
⋆
≳
9.0
within
ρ
/
R
vir
and ∣Δ
v
∣/
v
esc
≤ 1.5 with respect to the absorber. We do not find any strong correlations between the metallicities or H
i
column densities of the gas and most of the galaxy properties, except for the stellar mass of the galaxies: the low-metallicity (X/H ≤ −1.4) systems have a probability of
0.39
−
0.15
+
0.16
for having a host galaxy with
log
M
⋆
≥
9.0
within
ρ
/
R
vir
≤ 1.5, while the higher metallicity absorbers have a probability of
0.78
−
0.13
+
0.10
. This implies metal-enriched pLLSs/LLSs at
z
< 1 are typically associated with the CGM of galaxies with
log
M
⋆
>
9.0
, whereas low-metallicity pLLSs/LLSs are found in more diverse locations, with one population arising in the CGM of galaxies and another more broadly distributed in overdense regions of the universe. Using absorbers not associated with galaxies, we estimate the unweighted geometric mean metallicity of the intergalactic medium to be X/H ≲ −2.1 at
z
< 1, which is lower than previously estimated.
•Neurochemistry of lamina I–II inhibitory neurons in mouse is similar to that in rat.•Five neurochemical classes account for all lamina I–II inhibitory neurons in mouse.•Excitatory dynorphin cells ...are largely restricted to glabrous skin territory.
Around a quarter of neurons in laminae I–II of the dorsal horn are inhibitory interneurons. These play an important role in modulating somatosensory information, including that perceived as pain or itch. Previous studies in rat identified four largely non-overlapping neurochemical populations among these cells, defined by expression of galanin, neuropeptide Y (NPY), neuronal nitric oxide synthase (nNOS) or parvalbumin. The galanin cells were subsequently shown to coexpress dynorphin. Several recent studies have used genetically modified mice to investigate the function of different interneuron populations, and it is therefore important to determine whether the same pattern applies in mouse, and to estimate the relative sizes of these populations. We show that the neurochemical organization of inhibitory interneurons in mouse superficial dorsal horn is similar to that in the rat, although a larger proportion of these neurons (33%) express NPY. Between them, these four populations account for ∼75% of inhibitory cells in laminae I–II. Since ∼25% of inhibitory interneurons in this region belong to a novel calretinin-expressing type, our results suggest that virtually all inhibitory interneurons in superficial dorsal horn can be assigned to one of these five neurochemical populations. Although our main focus was inhibitory neurons, we also identified a population of excitatory dynorphin-expressing cells in laminae I–II that are largely restricted to the medial part of the mid-lumbar dorsal horn, corresponding to glabrous skin territory. These findings are important for interpretation of studies using molecular-genetic techniques to manipulate the functions of interneuron populations to investigate their roles in somatosensory processing.
Yeasts, which have been a component of the human diet for at least 7,000 years, possess an elaborate cell wall α-mannan. The influence of yeast mannan on the ecology of the human microbiota is ...unknown. Here we show that yeast α-mannan is a viable food source for the Gram-negative bacterium Bacteroides thetaiotaomicron, a dominant member of the microbiota. Detailed biochemical analysis and targeted gene disruption studies support a model whereby limited cleavage of α-mannan on the surface generates large oligosaccharides that are subsequently depolymerized to mannose by the action of periplasmic enzymes. Co-culturing studies showed that metabolism of yeast mannan by B. thetaiotaomicron presents a 'selfish' model for the catabolism of this difficult to breakdown polysaccharide. Genomic comparison with B. thetaiotaomicron in conjunction with cell culture studies show that a cohort of highly successful members of the microbiota has evolved to consume sterically-restricted yeast glycans, an adaptation that may reflect the incorporation of eukaryotic microorganisms into the human diet.
Celotno besedilo
Dostopno za:
DOBA, IJS, IZUM, KILJ, KISLJ, NUK, PILJ, PNG, SAZU, SBMB, SIK, UILJ, UKNU, UL, UM, UPUK
Objectives This study sought to evaluate the use of a continuous-flow rotary left ventricular assist device (LVAD) as a bridge to heart transplantation. Background LVAD therapy is an established ...treatment modality for patients with advanced heart failure. Pulsatile LVADs have limitations in design precluding their use for extended support. Continuous-flow rotary LVADs represent an innovative design with potential for small size and greater reliability by simplification of the pumping mechanism. Methods In a prospective, multicenter study, 281 patients urgently listed (United Network of Organ Sharing status 1A or 1B) for heart transplantation underwent implantation of a continuous-flow LVAD. Survival and transplantation rates were assessed at 18 months. Patients were assessed for adverse events throughout the study and for quality of life, functional status, and organ function for 6 months. Results Of 281 patients, 222 (79%) underwent transplantation, LVAD removal for cardiac recovery, or had ongoing LVAD support at 18-month follow-up. Actuarial survival on support was 72% (95% confidence interval: 65% to 79%) at 18 months. At 6 months, there were significant improvements in functional status and 6-min walk test (from 0% to 83% of patients in New York Heart Association functional class I or II and from 13% to 89% of patients completing a 6-min walk test) and in quality of life (mean values improved 41% with Minnesota Living With Heart Failure and 75% with Kansas City Cardiomyopathy questionnaires). Major adverse events included bleeding, stroke, right heart failure, and percutaneous lead infection. Pump thrombosis occurred in 4 patients. Conclusions A continuous-flow LVAD provides effective hemodynamic support for at least 18 months in patients awaiting transplantation, with improved functional status and quality of life. (Thoratec HeartMate II Left Ventricular Assist System LVAS for Bridge to Cardiac Transplantation; NCT00121472 )
The present research examined the role of approach and avoidance motivation in models of personality. Specifically, it examined the hypothesis that approach and avoidance temperaments represent the ...foundation of several basic dimensions espoused in the trait adjective, affective disposition, and motivational system approaches to personality. Factor analytic support for the hypothesis was obtained in Studies 1, 2, and 6; measures of extraversion, positive emotionality, and behavioral activation system loaded together on 1 factor (Approach Temperament) and measures of neuroticism, negative emotionality, and behavioral inhibition system loaded on another factor (Avoidance Temperament). This 2-factor structure was shown to be independent of response biases. In Studies 3-7, approach and avoidance temperaments were shown to be systematically linked to achievement goals (both nomothetic and idiographic). The findings are discussed in terms of an integrative approach to personality.
A scale-up process of high-rate-capability supercapacitors based on electrochemically exfoliated graphene (EEG) and hybrid activated carbon (AC)/EEG are studied in this work. A comparison of the rate ...capabilities of large-scale EEG and AC/EEG-based pouch cell and commercial high-power supercapacitors are also presented in this paper. The oxygen content of the EEG used in this work is 9.6 at%, with a C/O ratio of 9.36, and the electrical conductivity is 2.68×104 Sm−1. The specific capacitance (59Fg−1) of the EEG-based supercapacitors remained above 80% of the maximum value as the scan rate was increased from 5mVs−1 to 1Vs−1. Furthermore, our study reveals how the rate capability of activated carbon (AC) based supercapacitors can be improved by adding EEG into the electrodes to form a hybrid AC/EEG supercapacitor. Both the EEG-based and AC/EEG supercapacitors were scaled-up to pouch cells with capacitances of tens of farads. The electrochemical response was unchanged when scaling up from a coin cell to a pouch cell, although the specific capacitance fell slightly. The cycle performance of the AC/EEG pouch cell showed good long-term stability, with better than 95% capacitance retention after 10,000 cycles. Both the EEG and AC/EEG (with 1:1 mass ratio) pouch cells had rate capabilities that compared favourably with the commercial high-power supercapacitors.
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