GABAA receptor beta subunit mRNA expression in the human alcoholic brain

A competitive RT-PCR assay was used to quantify the expression of the GABA(A) receptor beta(1), beta(2) and beta(3) isoform mRNA transcripts in the superior frontal cortex and motor cortex of 21 control and 22 alcoholic cases. A single set of primers was designed that permitted amplification of all three transcripts and the internal standard simultaneously; differentiation of the individual transcripts was achieved by restriction enzyme digestion. Construction of a standard curve, using the internal standard and a concentration range of beta(2) cRNA-enabled quantitation of mRNA expression levels. No significant difference in mRNA expression was found between the control and alcoholic case groups in either the superior frontal or motor cortex for the beta(2) or beta(3) isoforms. A significant interaction was found between isoform and area, although, the two case groups did not partition on this measure. The interaction was due to a significant difference between superior frontal and motor cortex for the beta(3) isoform; this regional comparison was not significant for beta(2) mRNA. Age at death and post-mortem delay (PMD) had no significant effect on beta mRNA expression in either case group in either region. A beta(1) signal could not be detected in the RT-PCR assay. (C) 2004 Elsevier Ltd. All rights reserved.

Polarisation mode dispersion induced transmission penalties for long-haul high speed optical communication systems

Results of full numerical simulations of a guiding-centre soliton system with randomly birefringent SMF fibre are shown and analysed. It emerges that the soliton system becomes unstable even for small amounts of PMD.

Simulation of guiding-centre soliton transmission system stability in the presence of polarisation mode dispersion

Results of full numerical simulations of a guiding-centre soliton system with randomly birefringent SMF fibre are shown and analysed. It emerges that the soliton system becomes unstable even for small amounts of PMD.

Numerically optimized implementations, mitigation and simulations of polarisation mode dispersion in real-time transmission systems

The aim of this thesis is to present numerical investigations of the polarisation mode dispersion (PMD) effect. Outstanding issues on the side of the numerical implementations of PMD are resolved and the proposed methods are further optimized for computational efficiency and physical accuracy. Methods for the mitigation of the PMD effect are taken into account and simulations of transmission system with added PMD are presented. The basic outline of the work focusing on PMD can be divided as follows. At first the widely-used coarse-step method for simulating the PMD phenomenon as well as a method derived from the Manakov-PMD equation are implemented and investigated separately through the distribution of a state of polarisation on the Poincaré sphere, and the evolution of the dispersion of a signal. Next these two methods are statistically examined and compared to well-known analytical models of the probability distribution function (PDF) and the autocorrelation function (ACF) of the PMD phenomenon. Important optimisations are achieved, for each of the aforementioned implementations in the computational level. In addition the ACF of the coarse-step method is considered separately, based on the result which indicates that the numerically produced ACF, exaggerates the value of the correlation between different frequencies. Moreover the mitigation of the PMD phenomenon is considered, in the form of numerically implementing Low-PMD spun fibres. Finally, all the above are combined in simulations that demonstrate the impact of the PMD on the quality factor (Q=factor) of different transmission systems. For this a numerical solver based on the coupled nonlinear Schrödinger equation is created which is otherwise tested against the most important transmission impairments in the early chapters of this thesis.

Unrepeatered field transmission of 2 Tbit/s multi-banded coherent WDM over 124 km of installed SMF

In this paper we report field transmission of a 2Tbit/s multi-banded Coherent WDM signal over BT Ireland's installed SMF, using EDFA amplification only, with mixed Ethernet (with FEC) and PRBS payloads. To the best of our knowledge, the results obtained represent the highest total capacity transmitted over installed SMF with orthogonal subcarriers. BERs below 10(-5) and no frame-loss were recorded for all 49 subcarriers. Extended BER measurements over several hours showed fluctuations that can be attributed to PMD and to dynamic effects associated with clock instabilities.

Activated polarization pulling and de-correlation of signal and pump states of polarization in fiber Raman amplifier

We report on a theoretical study of activated polarization pulling and de-correlation of signal and pump states of polarization based on an advanced vector model of a fiber Raman amplifier accounting for random birefringence and two-scale fiber spinning. As a result, we have found that it is possible to provide de-correlation and simultaneously suppress PDG and PMD to 1.2 dB and 0.035 ps/km1/2 respectively.

Prospects for inserting parametric amplifiers in optical communication networks

We investigate to what extent the unique features of OPAs (large bandwidths, 0 dB noise figure, phase conjugation, signal regeneration) can be combined and exploited in future long-haul communication networks. Network PMD can complicate the use of phase-sensitive amplification.

Fiber Raman amplification in a two-scale spun fiber

We report on a theoretical study of activated de-correlation of pump and signal states of polarization in a fiber Raman amplifier based on 10 km of fiber with two-scale fiber spinning profile. As a result of the decorrelation, polarization dependent gain can be suppressed to 0.11 dB, PMD to 0.037 ps/km1/2 and gain can be increased to 15 dB. © 2012 Optical Society of America.

Stochastic calculations for fibre Raman amplifiers with randomly varying birefringence

For the first time for the model of real-world forward-pumped fibre Raman amplifier with the randomly varying birefringence, the stochastic calculations have been done numerically based on the Kloeden-Platen-Schurz algorithm. The results obtained for the averaged gain and gain fluctuations as a function of polarization mode dispersion (PMD) parameter agree quantitatively with the results of previously developed analytical model. Simultaneously, the direct numerical simulations demonstrate an increased stochastisation (maximum in averaged gain variation) within the region of the polarization mode dispersion parameter of 0.1÷0.3 ps/km1/2. The results give an insight into margins of applicability of a generic multi-scale technique widely used to derive coupled Manakov equations and allow generalizing analytic model with accounting for pump depletion, group-delay dispersion and Kerr-nonlinearity that is of great interest for development of the high-transmission-rates optical networks.

Transcallosal connectivity of the human cortical motor network

The organizational and architectural configuration of white matter pathways connecting brain regions has ramifications for all facets of the human condition, including manifestations of incipient neurodegeneration. Although diffusion tensor imaging (DTI) has been used extensively to visualize white matter connectivity, due to the widespread presence of crossing fibres, the lateral projections of the corpus callosum are not normally detected using this methodology. Detailed knowledge of the transcallosal connectivity of the human cortical motor network has therefore remained elusive. We employed constrained spherical deconvolution (CSD) tractography - an approach that is much less susceptible to the influence of crossing fibres, in order to derive complete in-vivo characterizations of white matter pathways connecting specific motor cortical regions to their counterparts and other loci in the opposite hemisphere. The revealed patterns of connectivity closely resemble those derived from anatomical tracing in primates. It was established that dorsal premotor cortex (PMd) and supplementary motor area (SMA) have extensive interhemispheric connectivity - exhibiting both dense homologous projections, and widespread structural relations with every other region in the contralateral motor network. Through this in-vivo portrayal, the importance of non-primary motor regions for interhemispheric communication is emphasized. Additionally, distinct connectivity profiles were detected for the anterior and posterior subdivisions of primary motor cortex. The present findings provide a comprehensive representation of transcallosal white matter projections in humans, and have the potential to inform the development of models and hypotheses relating structural and functional brain connectivity.

Mothers’ perception of recovery and satisfaction with patent medicine dealers’ treatment of childhood febrile conditions in rural communities

Background Infant mortality in rural areas of Nigeria can be minimized if childhood febrile conditions are treated by trained health personnel, deployed to primary healthcare centres (PHCs) rather than the observed preference of mothers for patent medicine dealers (PMDs). However, health service utilization/patronage is driven by consumer satisfaction and perception of services/product value. The objective of this study was to determine ‘mothers’ perception of recovery’ and ‘mothers’ satisfaction’ after PMD treatment of childhood febrile conditions, as likely drivers of mothers’ health-seeking behaviour, which must be targeted to reverse the trend. Methods Ugwuogo-Nike, in Enugu, Nigeria, has many PMDs/PHCs, and was selected based on high prevalence of childhood febrile conditions. In total, 385 consenting mothers (aged 15–45 years) were consecutively recruited at PMD shops, after purchasing drugs for childhood febrile conditions, in a cross-sectional observational study using a pre-tested instrument; 33 of them (aged 21–47 years) participated in focus group discussions (FGDs). Qualitative data were thematically analysed while a quantitative study was analysed with Z score and Chi square statistics, at p < 0.05. Results Most participants in FGDs perceived that their child had delayed recovery, but were satisfied with PMDs’ treatment of childhood febrile conditions, for reasons that included politeness, caring attitude, drug availability, easy accessibility, flexibility in pricing, shorter waiting time, their God-fearing nature, and disposition as good listeners. Mothers’ satisfaction with PMDs’ treatment is significantly (p < 0.05) associated with mothers’ perception of recovery of their child (χ2 = 192.94, df = 4; p < 0.0001; Cramer’s V = 0.7079). However, predicting mothers’ satisfaction with PMDs’ treatment from a knowledge of mothers’ perception of recovery shows a high accord (lambda[A from B] = 0.8727), unlike when predicting mothers’ perception of recovery based on knowledge of mothers’ satisfaction with PMDs’ treatment (lambda[A from B] = 0.4727). Conclusions Mothers’ satisfaction could be the key ‘driver’ of mothers’ health-seeking behaviour and is less likely to be influenced by mothers’ perception of recovery of their child. Therefore, mothers’ negative perception of their child’s recovery may not induce proportionate decline in mothers’ health-seeking behaviour (patronage of PMDs), which might be influenced mainly by mothers’ satisfaction with the positive attributes of PMDs’ personality/practice and sets an important agenda for PHC reforms.

Follow-up telefónico ao doente portador de dispositivo cardíaco

A implantação de um pacemaker (PMD) ou de um cardioversor desfibrilhador (CDI) tornou-se num procedimento comum e relativamente simples, como tratamento para disritmias cardíacas. Apesar da implantação não implicar uma alteração importante no estilo de vida, está inerente a algumas preocupações e sentimentos de ansiedade, relacionadas sobretudo com as atividades de vida diária. A equipa de enfermagem do Serviço de Cardiologia do Hospital Fernando Fonseca mantém em funcionamento uma consulta de enfermagem ao portador de PMD e/ou CDI desde 2000. Nos últimos anos foram sendo realizadas algumas alterações no sentido de melhorar a consulta e os cuidados prestados a estes doentes. A consulta é realizada por enfermeiros com treino e experiência na área da aritmologia, ocorrendo 4-6 semanas após a implantação do referido dispositivo. Numa primeira consulta constatamos que muitos doentes, durante este período, limitaram ao máximo as suas atividades de vida aguardando pela consulta para esclarecer as suas dúvidas. De forma a encurtar o tempo entre a implantação do dispositivo e a 1ª consulta, a equipa de enfermagem implementou, em Janeiro de 2016 o follow-up telefónico, encontrando-se em fase de teste. Este follow-up é feito cerca de uma semana após a implantação do dispositivo e tem como objetivos fazer uma breve avaliação do estado do doente, despistar eventuais sinais inflamatórios da sutura operatória, fazer alguns ensinos, esclarecer dúvidas e, em caso de necessidade, encaminhar o doente aos cuidados de saúde, se a situação assim o justificar. A análise preliminar que fazemos foi bastante positivo tendo em conta o feed-back obtido pelos doentes /família. Neste contato telefónico foi possível resolver questões, algumas delas geradoras de ansiedade e, despistar eventuais situações de eventual infecção do local cirúrgico. Futuramente iremos reorganizar a consulta de enfermagem de forma a introduzir esta atividade contribuindo assim para a melhoria da qualidade dos cuidados.

O contributo de enfermagem na segurança e conforto da pessoa submetida a procedimentos em electrofisiologia e pacing

A segurança do doente revela-se como uma das questões mais importantes ao nível da política de saúde e do debate público (OCDE, 2014). A Comissão Europeia refere que, não existindo qualquer alteração de política de saúde, o número de eventos adversos associados à hospitalização, na União Europeia, rondaria os dez milhões por ano, dos quais cerca de 4,4 milhões seriam evitáveis. Tendo em conta os dados acima apresentados de que forma nós, na nossa prática de cuidados podemos contribuir para a segurança do doente, nomeadamente, em doentes submetidos a estudos electrofisiológicos e implantação de dispositivos cardíaco (PMD / CDI). Nesta prelecção iremos abordar o percurso do doente, desde que este é informado da necessidade de implantação de um dispositivo cardíaco, em consulta médica, até ao seu seguimento no pós-alta, em consulta de enfermagem. Deste modo, podemos constatar que a nossa prática diária de cuidados vai de encontro às recomendações do Conselho Europeu (2009) para a segurança do doente. Os serviços de saúde devem ser orientados para o doente, ou seja, comunicar e interagir com os doentes num ambiente humanizado, de forma a minimizar o desconforto associado à situação que os leva a recorrer aos serviços de saúde.