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Selected papers from the 2nd international meeting on microsensors and microsystems - Preface
HIV and tuberculosis in Ho Chi Minh City, Vietnam, 1997-2002.
In Ho Chi Minh City, Vietnam, reporting rates for tuberculosis (TB) are rising in an emerging HIV epidemic. To describe the HIV epidemic among TB patients and quantify its impact on rates of reported TB, we performed a repeated cross-sectional survey from 1997 through 2002 in a randomly selected sample of inner city TB patients. We assessed effect by adjusting TB case reporting rates by the fraction of TB cases attributable to HIV infection. HIV prevalence in TB patients rose exponentially from 1.5% to 9.0% during the study period. Young (<35 years), single, male patients were mostly affected; injection drug use was a potent risk factor. After correction for HIV infection, the trend in TB reporting rates changed from a 1.9% increase to a 0.4% decrease per year. An emerging HIV epidemic, concentrated in young, male, injection drug users, is responsible for increased TB reporting rates in urban Vietnam
Optical coherence tomography in the detection of retinal break and management of retinal detachment I morning glory syndrome
Gas tamponade and macular grid laser photocoagulation in the management of recurrent retinal detachment.
Overexpression of neuronal intermediate filament protein alpha-internexin in PC12 cells.
Mechanisms for accumulation and migration of technetium-99 in saltmarsh sediments
This thesis describes the development of analytical methods for both the bulk determination of 99Tc, and determination of 99Tc in sequential extracts from sediments. These methods have been used to collect data, which, along with trace and major element data have been used to interpret the mechanisms for 99Tc input, migration and accumulation in saltmarshes. The inventory of 99Tc stored in the Thornflatt Saltmarsh, Esk Estuary has also been determined. The routine determination of 99Tc in bulk samples uses 99mTc as a yield monitor. Samples are ignited stepwise to 550°C and the 99Tc is extracted using 8M nitric acid. Many contaminants are precipitated with Fe(OH)3 and the Tc in the supernant is pre-concentrated and further purified using anion-exchange chromatography. Final separation of Tc from Ru is achieved by extraction of Tc into 5% TnOA in xylene from 2M sulphuric acid. The yield is determined by γ-spectrometric analysis of 99mTc. Determination of 99Tc is made by liquid scintillation counting. Typical recoveries are in the order of 70-95% and the method has a detection limit of 1.7 Bq/kg for a sample size of 10g. Determination of Tc in sequential extracts uses operationally defined procedures to extract: exchangeable Tc, reducible Tc and oxidisable Tc. An initial water wash is used to extract any occluded Tc and a final leach in 8 M nitric acid is used to dissolve any residual Tc. The isolation of 99Tc uses TEVA resin for Extracts 1-4 and the decontamination procedure developed for bulk analysis for Extract 5. 99mTc was used as a yield monitor, and determination of 99Tc is by liquid scintillation counting. Limits of detection were dependent on the amount of 99mTc tracer used but were found to be as low as 2.4 Bq/kg for a sample size of 2g. A study was made of the mechanisms responsible for the accumulation and migration of Tc in estuarine sediments using sediments collected from saltmarshes at Thornflatt, Carlaverock and the Ribble Estuary. 99Tc was present at determinable activities in all the sediment cores taken from these sites. Good correlations between Tc and CaO as well as CO3 concentrations and poor correlation between Tc and radionuclides adsorbed to inorganic detritus infer a direct input of 99Tc to marsh sediments. Determination of 99Tc in biota living on the marsh also showed that this was not a significant pathway for input of Tc to the sediments. Sequential extraction data imply sorption to an organic fraction of the sediment. Stable element and sequential extraction data indicates that Tc is readily oxidised and remobilised before reprecipitation where redox conditions are favourable. Data indicate a reduction potential between those of the MnIV to MnII reaction and the FeIII to FeII reaction is necessary for re-accumulation to occur, as suggested by published thermodynamic data. Data collected from reducing sediments imply that similar mechanisms are responsible for the accumulation of Mn (e.g. reduction by sulphate reducing bacteria) and the accumulation of Tc. The inventory of 99Tc held within the Thornflatt saltmarsh is proportionally less than that of 137Cs or 241Am when compared to discharges from Sellafield. However a higher proportion of 99Tc is transferred from Seliafield and incorporated into saltmarsh sediments than is suggested by previously published standard distribution coefficient data. Saltmarsh sediments are therefore a more important sink of 99Tc than extrapolations made from inventories of other radionuclides would suggest
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