872 results on '"White AJ"'
Search Results
2. Fine‐grained material associated with a large sulfide returned from Comet 81P/Wild 2
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Gainsforth, Z, Westphal, AJ, Butterworth, AL, Jilly‐Rehak, CE, Brownlee, DE, Joswiak, DJ, Ogliore, RC, Zolensky, ME, Bechtel, HA, Ebel, DS, Huss, GR, Sandford, SA, and White, AJ
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Space Sciences ,Physical Sciences ,Astronomical and Space Sciences ,Geochemistry ,Geology ,Geochemistry & Geophysics ,Astronomical sciences ,Space sciences - Abstract
In a consortium analysis of a large particle captured from the coma of comet 81P/Wild 2 by the Stardust spacecraft, we report the discovery of a field of fine-grained material (FGM) in contact with a large sulfide particle. The FGM was partially located in an embayment in the sulfide. As a consequence, some of the FGM appears to have been protected from damage during hypervelocity capture in aerogel. Some of the FGM particles are indistinguishable in their characteristics from common components of chondritic-porous interplanetary dust particles (CP-IDPs), including glass with embedded metals and sulfides (GEMS) and equilibrated aggregates (EAs). The sulfide exhibits surprising Ni-rich lamellae, which may indicate that this particle experienced a long-duration heating event after its formation but before incorporation into Wild 2.
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- 2019
3. Nonequilibrium atomic limit for transport and optical response of molecular junctions
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White, AJ, Ochoa, MA, and Galperin, M
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Chemical Sciences ,Engineering ,Technology ,Physical Chemistry - Abstract
Theoretical tools employed in ab initio simulations in the field of molecular electronics combine methods of quantum chemistry and mesoscopic physics. Traditionally these methods are formulated in the language of effective single-particle orbitals. We argue that in many cases of practical importance a formulation in the language of many-body states is preferable. We review methods of the nonequilibrium atomic limit and our contributions to their development and applications. In particular, model and ab initio simulations of quantum transport and optical response in molecular junctions illustrate the convenience and importance of the methodology. Results of ab initio simulations are compared with experimental data. © 2014 American Chemical Society.
- Published
- 2014
4. Coherence in charge and energy transfer in molecular junctions
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White, AJ, Peskin, U, and Galperin, M
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Physical Sciences ,Chemical Sciences ,Engineering ,Fluids & Plasmas - Abstract
We consider the effects of dephasing on field-induced coherent charge and energy transport in molecular junctions. Within generic models we show that dephasing controls the relative intensities of energy and charge fluxes, and that the dependence of the energy flux on the dephasing rate is nonmonotonic. We further demonstrate the possibility for laser-controlled charge-energy separation in multiterminal molecular junctions, a prerequisite for engineering low-heating stable nanoscale devices. © 2013 American Physical Society.
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- 2013
5. Embryonic keratin19+ progenitors generate multiple functionally distinct progeny to maintain epithelial diversity in the adult thymus medulla
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Lucas, B, White, AJ, Klein, F, Veiga-Villauriz, C, Handel, A, Bacon, A, Cosway, EJ, James, KD, Parnell, SM, Ohigashi, I, Takahama, Y, Jenkinson, WE, Hollander, GA, Lu, W-Y, and Anderson, G
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Multidisciplinary ,General Physics and Astronomy ,General Chemistry ,General Biochemistry, Genetics and Molecular Biology - Abstract
The thymus medulla is a key site for immunoregulation and tolerance, and its functional specialisation is achieved through the complexity of medullary thymic epithelial cells (mTEC). While the importance of the medulla for thymus function is clear, the production and maintenance of mTEC diversity remains poorly understood. Here, using ontogenetic and inducible fate-mapping approaches, we identify mTEC-restricted progenitors as a cytokeratin19+ (K19+) TEC subset that emerges in the embryonic thymus. Importantly, labelling of a single cohort of K19+ TEC during embryogenesis sustains the production of multiple mTEC subsets into adulthood, including CCL21+ mTEClo, Aire+ mTEChi and thymic tuft cells. We show K19+ progenitors arise prior to the acquisition of multiple mTEC-defining features including RANK and CCL21 and are generated independently of the key mTEC regulator, Relb. In conclusion, we identify and define a multipotent mTEC progenitor that emerges during embryogenesis to support mTEC diversity into adult life., Nature Communications, 14 (1), ISSN:2041-1723
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- 2023
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6. Diversity in Cortical Thymic Epithelial Cells Occurs through Loss of a Foxn1-Dependent Gene Signature Driven by Stage-Specific Thymocyte Cross-Talk
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White, AJ, Parnell, SM, Handel, A, Maio, S, Bacon, A, Cosway, EJ, Lucas, B, James, KD, Cowan, JE, Jenkinson, WE, Hollander, GA, and Anderson, G
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Immunology ,Immunology and Allergy - Abstract
In the thymus, cortical thymic epithelial cells (cTECs) and medullary thymic epithelial cells support αβT cell development from lymphoid progenitors. For cTECs, expression of a specialized gene signature that includes Cxcl12, Dll4, and Psmb11 enables the cortex to support T lineage commitment and the generation and selection of CD4⁺CD8⁺ thymocytes. Although the importance of cTECs in T cell development is well defined, mechanisms that shape the cTEC compartment and regulate its functional specialization are unclear. Using a Cxcl12ᴰˢᴿᵉᵈ reporter mouse model, we show that changes in Cxcl12 expression reveal a developmentally regulated program of cTEC heterogeneity. Although cTECs are uniformly Cxcl12ᴰˢᴿᵉᵈ⁺ during neonatal stages, progression through postnatal life triggers the appearance of Cxcl12ᴰˢᴿᵉᵈ⁻ cTECs that continue to reside in the cortex alongside their Cxcl12ᴰˢᴿᵉᵈ⁺ counterparts. This appearance of Cxcl12ᴰˢᴿᵉᵈ⁻ cTECs is controlled by maturation of CD4⁻CD8⁻, but not CD4⁺CD8⁺, thymocytes, demonstrating that stage-specific thymocyte cross-talk controls cTEC heterogeneity. Importantly, although fate-mapping experiments show both Cxcl12ᴰˢᴿᵉᵈ⁺ and Cxcl12ᴰˢᴿᵉᵈ⁻ cTECs share a common Foxn1⁺ cell origin, RNA sequencing analysis shows Cxcl12ᴰˢᴿᵉᵈ⁻ cTECs no longer express Foxn1, which results in loss of the FOXN1-dependent cTEC gene signature and may explain the reduced capacity of Cxcl12ᴰˢᴿᵉᵈ⁻ cTECs for thymocyte interactions. In summary, our study shows that shaping of the cTEC compartment during the life course occurs via stage-specific thymocyte cross-talk, which drives loss of Foxn1 expression and its key target genes, which may then determine the functional competence of the thymic cortex., The Journal of Immunology, 210 (1), ISSN:0022-1767, ISSN:1048-3233, ISSN:1047-7381, ISSN:1550-6606
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- 2023
7. Applying the Bradford Hill Criteria for Causation to Repetitive Head Impacts and Chronic Traumatic Encephalopathy
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Nowinski, CJ, Bureau, SC, Buckland, ME, Curtis, MA, Daneshvar, DH, Faull, RLM, Grinberg, LT, Hill-Yardin, EL, Murray, HC, Pearce, AJ, Suter, CM, White, AJ, Finkel, AM, Cantu, RC, Nowinski, CJ, Bureau, SC, Buckland, ME, Curtis, MA, Daneshvar, DH, Faull, RLM, Grinberg, LT, Hill-Yardin, EL, Murray, HC, Pearce, AJ, Suter, CM, White, AJ, Finkel, AM, and Cantu, RC
- Abstract
Chronic traumatic encephalopathy (CTE) is a neurodegenerative disease associated with a history of repetitive head impacts (RHI). CTE was described in boxers as early as the 1920s and by the 1950s it was widely accepted that hits to the head caused some boxers to become "punch drunk." However, the recent discovery of CTE in American and Australian-rules football, soccer, rugby, ice hockey, and other sports has resulted in renewed debate on whether the relationship between RHI and CTE is causal. Identifying the strength of the evidential relationship between CTE and RHI has implications for public health and medico-legal issues. From a public health perspective, environmentally caused diseases can be mitigated or prevented. Medico-legally, millions of children are exposed to RHI through sports participation; this demographic is too young to legally consent to any potential long-term risks associated with this exposure. To better understand the strength of evidence underlying the possible causal relationship between RHI and CTE, we examined the medical literature through the Bradford Hill criteria for causation. The Bradford Hill criteria, first proposed in 1965 by Sir Austin Bradford Hill, provide a framework to determine if one can justifiably move from an observed association to a verdict of causation. The Bradford Hill criteria include nine viewpoints by which to evaluate human epidemiologic evidence to determine if causation can be deduced: strength, consistency, specificity, temporality, biological gradient, plausibility, coherence, experiment, and analogy. We explored the question of causation by evaluating studies on CTE as it relates to RHI exposure. Through this lens, we found convincing evidence of a causal relationship between RHI and CTE, as well as an absence of evidence-based alternative explanations. By organizing the CTE literature through this framework, we hope to advance the global conversation on CTE mitigation efforts.
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- 2022
8. Fundoscopy use in neurology departments and the utility of smartphone photography: a prospective prevalence and crossover diagnostic accuracy study amongst neurology inpatients
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He, G, Dunn, HP, Ahmad, KE, Watson, E, Henderson, A, Tynan, D, Leaney, J, White, AJ, Hewitt, AW, Fraser, CL, He, G, Dunn, HP, Ahmad, KE, Watson, E, Henderson, A, Tynan, D, Leaney, J, White, AJ, Hewitt, AW, and Fraser, CL
- Abstract
BACKGROUND AND PURPOSE: Although fundoscopy is a crucial part of the neurological examination, it is challenging, under-utilized and unreliably performed. The aim was to determine the prevalence of fundus pathology amongst neurology inpatients and the diagnostic accuracy of current fundoscopy practice compared with systematic screening with smartphone fundoscopy (SF) and portable non-mydriatic fundus photography (NMFP). METHODS: This was a prospective cross-sectional surveillance and diagnostic accuracy study on adult patients admitted under neurology in an Australian hospital. Inpatients were randomized to initial NMFP (RetinaVue 100, Welch Allyn) or SF (D-EYE) followed by a crossover to the alternative modality. Images were graded by neurology doctors, using telemedicine consensus neuro-ophthalmology NMFP grading as the reference standard. Feasibility parameters included ease, comfort and speed. RESULTS: Of 79 enrolled patients, 14.1% had neurologically relevant pathology (seven, disc pallor; one, hypertensive retinopathy; three, disc swelling). The neurology team performed direct ophthalmoscopy in 6.6% of cases and missed all abnormalities. SF had a sensitivity of 30%-40% compared with NMFP (45.5%); however, it had a lower rate of screening failure (1% vs. 13%, p < 0.001), a shorter examination time (1.10 vs. 2.25 min, p < 0.001) and a slightly higher patient comfort rating (9.2 vs. 8/10, p < 0.001). CONCLUSION: Our study demonstrates a clinically significant prevalence of fundus pathology amongst neurology inpatients which was missed by current fundoscopy practices. Portable NMFP screening appears more accurate than SF, whilst both are diagnostically superior to routine fundoscopic practice, feasible and well tolerated by patients.
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- 2022
9. The incidence of falls after first and second eye cataract surgery: a longitudinal cohort study.
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Keay, L, Ho, KC, Rogers, K, McCluskey, P, White, AJ, Morlet, N, Ng, JQ, Lamoureux, E, Pesudovs, K, Stapleton, FJ, Boufous, S, Huang-Lung, J, Palagyi, A, Keay, L, Ho, KC, Rogers, K, McCluskey, P, White, AJ, Morlet, N, Ng, JQ, Lamoureux, E, Pesudovs, K, Stapleton, FJ, Boufous, S, Huang-Lung, J, and Palagyi, A
- Abstract
OBJECTIVE: To compare fall incidence, and visual acuity and refractive status, before surgery and after first and second eye cataract surgery. DESIGN, SETTING: Prospective observational study in eight tertiary referral ophthalmology clinics in public hospitals in Sydney, Melbourne, and Perth. PARTICIPANTS: People aged 65 years or more referred for bilateral age-related cataract surgery during 2013-16, followed for maximum of 24 months after study entry or until six months after second eye surgery, whichever was shorter. MAIN OUTCOME MEASURES: Primary outcome: age- and sex-adjusted incidence of falls. SECONDARY OUTCOMES: visual acuity and refractive error. RESULTS: The mean age of the 409 included participants was 75.4 years (SD, 5.4 years); 220 were women (54%). Age- and sex-adjusted fall incidence prior to surgery was 1.17 (95% CI, 0.95-1.43) per year, 0.81 (95% CI, 0.63-1.04) per year after first eye surgery, and 0.41 (95% CI, 0.29-0.57) per year after second eye surgery. For the 118 participants who underwent second eye surgery and participated in all follow-up visits, age- and sex-adjusted incidence before (0.80 [95% CI, 0.55-1.15] falls per year) and after first eye surgery (0.81 [95% CI, 0.57-1.15] falls per year) was similar, but was lower after second eye surgery (0.32 [95% CI 0.21-0.50] falls per year). Mean habitual binocular visual acuity (logMAR) was 0.32 (SD, 0.21) before surgery, 0.15 (SD, 0.17) after first eye surgery, and 0.07 (SD, 0.15) after second eye surgery. CONCLUSIONS: First eye surgery substantially improves vision in older people with cataract, but second eye surgery is required to minimise fall incidence. Timely cataract surgery for both eyes not only optimises vision in older people with cataract, but also reduces their risk of injury from falls.
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- 2022
10. Efficient capture of high-quality real-world data on treatments for glaucoma: the Fight Glaucoma Blindness! Registry
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Lawlor, M, Nguyen, V, Brooks, A, Clement, C, Craig, JE, Danesh-Meyer, H, Goldberg, I, Graham, SL, Grigg, JR, Howes, F, Lim, R, Skalicky, SE, White, AJ, Gillies, M, Lawlor, M, Nguyen, V, Brooks, A, Clement, C, Craig, JE, Danesh-Meyer, H, Goldberg, I, Graham, SL, Grigg, JR, Howes, F, Lim, R, Skalicky, SE, White, AJ, and Gillies, M
- Abstract
OBJECTIVE: To describe the development and implementation of a web-based high-quality data collection tool to track the outcomes of glaucoma treatments in routine practice. METHODS AND ANALYSIS: This is a prospective observational registry study. An international steering committee undertook an iterative structured process to define a minimum, patient-centred data set designed to track outcomes of glaucoma treatment. The outcomes were coded into a web-based programme allowing easy access for rapid data entry. Clinicians receive personal reports enabling instant audit of their outcomes. Analyses of aggregated anonymised data on real-world outcomes are analysed and periodically reported with the goal of improving patient care. RESULTS: The minimum data set developed by the international steering committee includes the following: a baseline visit captures 13 mandatory fields in order to accurately phenotype each patient's subtype of glaucoma and to allow comparison between services, and a follow-up visit includes only four mandatory fields to allow completion within 30 s.Currently, there are 157 surgeons in 158 ophthalmology practices across Australia and New Zealand who are registered. These surgeons are tracking 5570 eyes of 3001 patients and have recorded 67 074 visits. The median number of eyes per surgeon is 22 eyes with a range of 1-575. The most common glaucoma procedure, excluding cataract surgery, is iStent inject, with 2316 cases. CONCLUSION: This software tool effectively facilitates data collection on safety and efficacy outcomes of treatments for different subgroups of glaucoma within a real-world setting. It provides a template to evaluate new treatments as they are introduced into practice.
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- 2021
11. Hair Product Use and Ovarian Cancer Risk
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White, AJ, primary, Sandler, DP, additional, and O'Brien, KM, additional
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- 2021
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12. Adolescent Use of Hair Dyes, Chemical Straighteners and Perms in Relation to Breast Cancer Risk in the Sister Study
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White, AJ, primary, Taylor, KW, additional, Eberle, CE, additional, Gaston, SA, additional, O'Brien, KM, additional, Jackson, CL, additional, and Sandler, DP, additional
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- 2020
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13. The role of cardiac transcription factor NKX2-5 in regulating the human cardiac miRNAome (vol 9, 15928, 2019)
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Arasaratnam, D, Bell, KM, Sim, CB, Koutsis, K, Anderson, DJ, Qian, EL, Stanley, EG, Elefanty, AG, Cheung, MM, Oshlack, A, White, AJ, Khalil, CA, Hudson, JE, Porrello, ER, Elliott, DA, Arasaratnam, D, Bell, KM, Sim, CB, Koutsis, K, Anderson, DJ, Qian, EL, Stanley, EG, Elefanty, AG, Cheung, MM, Oshlack, A, White, AJ, Khalil, CA, Hudson, JE, Porrello, ER, and Elliott, DA
- Abstract
An amendment to this paper has been published and can be accessed via a link at the top of the paper.
- Published
- 2019
14. The role of cardiac transcription factor NKX2-5 in regulating the human cardiac miRNAome
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Arasaratnam, D, Bell, KM, Sim, CB, Koutsis, K, Anderson, DJ, Qian, EL, Stanley, EG, Elefanty, AG, Cheung, MM, Oshlack, A, White, AJ, Khalil, CA, Hudson, JE, Porrello, ER, Elliott, DA, Arasaratnam, D, Bell, KM, Sim, CB, Koutsis, K, Anderson, DJ, Qian, EL, Stanley, EG, Elefanty, AG, Cheung, MM, Oshlack, A, White, AJ, Khalil, CA, Hudson, JE, Porrello, ER, and Elliott, DA
- Abstract
MicroRNAs (miRNAs) are translational regulatory molecules with recognised roles in heart development and disease. Therefore, it is important to define the human miRNA expression profile in cardiac progenitors and early-differentiated cardiomyocytes and to determine whether critical cardiac transcription factors such as NKX2-5 regulate miRNA expression. We used an NKX2-5eGFP/w reporter line to isolate both cardiac committed mesoderm and cardiomyocytes. We identified 11 miRNAs that were differentially expressed in NKX2-5 -expressing cardiac mesoderm compared to non-cardiac mesoderm. Subsequent profiling revealed that the canonical myogenic miRNAs including MIR1-1, MIR133A1 and MIR208A were enriched in cardiomyocytes. Strikingly, deletion of NKX2-5 did not result in gross changes in the cardiac miRNA profile, either at committed mesoderm or cardiomyocyte stages. Thus, in early human cardiomyocyte commitment and differentiation, the cardiac myogenic miRNA program is predominantly regulated independently of the highly conserved NKX2-5 -dependant gene regulatory network.
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- 2019
15. Resolution of bronchial inflammation is related to bacterial eradication following treatment of exacerbations of chronic bronchitis
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White, AJ, Gompertz, S, Bayley, DL, Hill, SL, O'Brien, C, and Unsal, I
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Inflammation -- Causes of -- Analysis ,Bronchitis -- Causes of -- Analysis ,Bacterial infections -- Evaluation -- Analysis ,Statistics -- Analysis ,Health ,Evaluation ,Analysis ,Causes of - Abstract
Background: Recent studies of the role of bacteria in chronic bronchitis have shown that bacterial colonisation is associated with enhanced inflammation and that purulent acute exacerbations of chronic bronchitis (AECB) [...]
- Published
- 2003
16. Performance response of packed-bed thermal storage to cycle duration perturbations
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McTigue, JD, Markides, C, White, AJ, and Engineering & Physical Science Research Council (EPSRC)
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Technology ,Science & Technology ,Energy & Fuels ,CONCENTRATING SOLAR POWER ,HEAT ,PILOT-SCALE DEMONSTRATION ,Thermal energy storage ,Exergy analysis ,ELECTRICITY STORAGE ,Packed bed ,Heat transfer ,Partial-charge ,Thermocline ,PLANT ,OPTIMIZATION ,AIR ENERGY-STORAGE ,SYSTEM - Abstract
Packed-bed thermal stores are integral components in numerous bulk electricity storage systems and may also be integrated into renewable generation and process heat systems. In such applications, the store may undergo charging and discharging periods of irregular durations. Previous work has typically concentrated on the initial charging cycles, or on steady-state cyclic operation. Understanding the impact of unpredictable charging periods on the storage behavior is necessary to improve design and operation. In this article, the influence of the cycle duration (or ‘partial-charge’ cycles) on the performance of such thermal stores is investigated. The response to perturbations is explained and provides a framework for understanding the response to realistic load cycles. The packed beds considered here have a rock filler material and air as the heat transfer fluid. The thermodynamic model is based on a modified form of the Schumann equations. Major sources of exergy loss are described, and the various irreversibility generating mechanisms are quantified. It is known that repeated charge-discharge cycles lead to steady-state behavior, which exhibits a trade-off between round-trip efficiency and stored exergy, and the underlying reasons for this are described. The steady state is then perturbed by cycles with a different duration. Short duration perturbations lead to a transient decrease in exergy losses, while longer perturbations increase it. The magnitude of the change in losses is related to the perturbation size and initial cycle period, but changes of 1–10 % are typical. The perturbations also affect the time to return to a steady-state, which may take up to 50 cycles. Segmenting the packed bed into layers reduces the effect of the perturbations, particularly short durations. Operational guidelines are developed, and it is found that packed beds are more resilient to changes in available energy if the store is not suddenly over-charged (i.e. longer perturbations), and if the steady-state cycle duration is relatively long. Furthermore, using the gas exit temperature to control cycle duration reduces the impact of perturbations on the performance, and reduces the time to return to steady-state operation.
- Published
- 2018
17. Air Pollution, Clustering of Particulate Matter Components and Breast Cancer
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White, AJ, primary, Keller, JP, additional, Zhao, S, additional, Kaufman, JD, additional, and Sandler, DP, additional
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- 2019
- Full Text
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18. Heat transfer losses in reciprocating compressors with valve actuation for energy storage applications
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Willich, C, White, AJ, White, Alexander [0000-0002-9118-8437], and Apollo - University of Cambridge Repository
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reciprocating compressor ,irreversible heat transfer ,gas spring ,exergetic loss - Abstract
Understanding the exergy losses stemming from heat transfer in compressors and expanders is important for many energy storage applications such as compressed air and pumped thermal storage. In order to obtain a better understanding of these losses, CFD simulations were performed for simple gas springs, for a gas spring with an internal grid to mimic valve flow, and for a reciprocating compressor with functioning inlet and outlet valves. The wall heat exchanges for these three cases were examined and compared. The model adopted has previously been validated for a simple gas spring using experimental data from literature. For the gas spring with an internal grid it was found that increased mixing leads to higher heat-transfer-induced hysteresis losses and (at high piston speeds) to a significant pressure loss. These two types of loss can be distinguished by undertaking adiabatic-wall calculations. For a compressor (i.e., with valve flows) heat transfer over the cycle depends very much on valve timing. For example, at 1500 rpm, when the delivery valve is opened at 7 bar the heat transfer coefficient for the initial stages of compression is similar to that for a simple gas spring, whereas for the same speed at 6 bar it is more than doubled.
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- 2017
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19. Thermodynamic performance maps of reciprocating-piston expanders for operation at off-design and part-load conditions
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Simpson, M, Rotolo, G, Sapin, P, De Palma, P, White, AJ, Markides, CN, and Engineering & Physical Science Research Council (EPSRC)
- Abstract
Renewable energy sources, such as solar-thermal or geothermal heat, and low-/medium-grade industrial waste-heat can be converted into useful power and/or heating with a variety of technologies, including organic Rankine cycle (ORC ) and vapour-compression heat-pump systems. The thermodynamic performance and cost of these technologies depends crucially on the efficiency of key components, including the compressor or expander used. Reciprocating-piston machines can be advantageous over turbomachines and other positive- displacement machines at intermediate scales (~1 0s-100s of kW) thanks to their ability to operate with relatively high isentropic efficiencies at large expansion ratios. However, modelling the thermodynamic losses in reciprocating-piston expanders, with a view towards designing high-performance machines, is a complex undertaking. The aim of this paper is to develop a spatially-lumped, yet dynamic model of a piston expander suitable for early-stage engineering design, that can provide simplification without sacrificing accuracy. The unsteady heat transfer between the gas and the cylinder walls, and the mass leakage are predicted independently with correlations available in the literature and simplified one-dimensional models, respectively. However, the turbulence induced by the mass intake through the piston rings can affect the gas- to-wall heat transfer. In order to address this dependency two complementary approaches are used. Compression and expansion processes are simulated in a gas spring configuration (i.e. without valve systems) using a computational fluid dynamics (CFD) model developed using the open-source code OpenFOAM, where the loss mechanisms are solved directly. The results are then compared with predictions from the heuristic lumped model based on heat transfer correlations. Finally, the lumped model is used to derive performance maps for a reciprocating-piston expander over a range of pressure ratios and mass flow rates.
- Published
- 2017
20. Thermodynamic Losses in a Gas Spring: Comparison of Experimental and Numerical Results
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Sapin, P, Taleb, A, Barfuß, C, White, AJ, Fabris, D, Markides, CN, and Engineering & Physical Science Research Council (EPSRC)
- Abstract
Reciprocating-piston devices can be used as high-efficiency compressors and/or expanders. With an optimal valve design and by carefully adjusting valve timing, pressure losses during intake and exhaust can be largely reduced. The main loss mechanism in reciprocating devices is then the thermal irreversibility due to the unsteady heat transfer between the compressed/expanded gas and the surrounding cylinder walls. In this paper, pressure, volume and temperature measurements in a piston-cylinder crankshaft driven gas spring are compared to numerical results. The experimental apparatus experiences mass leakage while the CFD code predicts heat transfer in an ideal closed gas spring. Comparison of experimental and numerical results allows one to better understand the loss mechanisms in play. Heat and mass losses in the experiment are decoupled and the system losses are calculated over a range of frequencies. As expected, compression and expansion approach adiabatic processes for higher frequencies, resulting in higher efficiency. The objective of this study is to observe and explain the discrepancies obtained between the computational and experimental results and to propose further steps to improve the analysis of the loss mechanisms.
- Published
- 2016
21. The Influence of Real Gases Effects on Thermal Losses in Reciprocating Piston-Cylinder Systems
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Taleb, A, Barfuß, C, Sapin, P, Willich, C, White, AJ, Fabris, D, Markides, CN, and Engineering & Physical Science Research Council (EPSRC)
- Abstract
The efficiency of expanders is of prime importance for various clean energy technologies. Once mechanical losses (e.g. through valves) are minimized, losses due to unsteady heat exchange between the working fluid and the solid walls of the containing device can become the dominant loss mechanism. In this device, gas spring devices are investigated numerically in order to focus explicitly on the thermodynamic losses that arise due to this unsteady heat transfer. The specific aim of this study is to investigate the behaviour of real gases in gas springs and compare this to that of ideal gases in order to attain a better understanding of the impact of real gas effects on the thermally losses in reciprocating piston expanders and compressors. A CFD-model of a gas spring is developed in OpenFOAM. Three different gas models are compared: an ideal gas model with constant thermodynamic and transport properties; an ideal gas model with temperature-dependent properties; and a real gas model using the Peng-Robinson equation of state with temperature and pressuredependent properties. Results indicate that, for simple, monoand diatomic gases like helium or nitrogen, there is a negligible difference in the pressure and temperature oscillations over a cycle between the ideal and real gas models. However, when looking at a heavier (organic) molecule such as propane, the ideal gas model tends to overestimate the temperature and pressure compared to the real gas model, especially if no temperature dependency of thermodynamic properties is taken into account. Additionally, the ideal gas model (both alternatives) underestimates the thermally induced loss compared to the real gas model for heavier gases. Real gas effects must be taken into account in order to predict accurately the thermally induced loss when using heavy molecules in such devices.
- Published
- 2016
22. Trianguleniums as optical probes for G-quadruplexes: A photophysical, electrochemical and computational study
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Vilar Compte, R, Shivalingam, A, Vysniauskas, A, Albrecht, T, White, AJ, Kuimova, MK, and Engineering & Physical Science Research Council (EPSRC)
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quadruplexes ,nucleic acids ,DNA ,General Chemistry ,optical probes ,triangulenium ,03 Chemical Sciences - Published
- 2016
23. Active Tobacco Smoke and Environmental Tobacco Smoke Exposure During Potential Biological Windows of Susceptibility in Relation to Breast Cancer
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White, AJ, primary, D'Aloisio, AA, additional, Nichols, HB, additional, DeRoo, LA, additional, and Sandler, DP, additional
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- 2016
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24. Abstract P1-08-04: Sources of polycyclic aromatic hydrocarbons associated with gene-specific promoter methylation in women with breast cancer
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White, AJ, primary, Chen, J, additional, McCullough, LE, additional, Xu, X, additional, Cho, YH, additional, Conway, K, additional, Beyea, J, additional, Stellman, SD, additional, Steck, SE, additional, Mordukhovich, I, additional, Eng, SM, additional, Terry, MB, additional, Engel, LS, additional, Hatch, M, additional, Neugut, AI, additional, Hibshoosh, H, additional, Santella, RM, additional, and Gammon, MD, additional
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- 2016
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25. Abstract P6-09-08: Exposure to multiple sources of polycyclic aromatic hydrocarbon and breast cancer incidence
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White, AJ, primary, Bradshaw, PT, additional, Herring, AH, additional, Teitelbaum, SL, additional, Beyea, J, additional, Stellman, SD, additional, Steck, SE, additional, Mordukhovich, I, additional, Eng, SM, additional, Engel, LS, additional, Conway, K, additional, Hatch, M, additional, Neugut, AI, additional, Santella, RM, additional, and Gammon, MD, additional
- Published
- 2016
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26. Su1088 A Novel Predictive Association Between Irritable Bowel Syndrome and Glaucomatous Optic Neuropathy
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McPherson, Z, Talley, NJ, Walker, MM, McElduff, P, Attia, J, Kelly, B, Agar, A, Coroneo, MT, Pettersson, S, Sorensen, H, White, AJ, McEvoy, M, McPherson, Z, Talley, NJ, Walker, MM, McElduff, P, Attia, J, Kelly, B, Agar, A, Coroneo, MT, Pettersson, S, Sorensen, H, White, AJ, and McEvoy, M
- Published
- 2015
27. Multimetallic complexes and functionalized nanoparticles based on oxygen- and nitrogen-donor combinations
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Naeem S, Ribes A, White AJ, Haque MN, Holt KB, and Wilton-Ely JD
- Abstract
The versatile precursors [Ru(CH-CHC6H4Me-4)Cl(CO)(BTD)(PPh3)2] (BTD = 2,1,3-benzothiadiazole) and [Ru(C(C=CPh)-CHPh)Cl(CO)(PPh3)2] were treated with isonicotinic acid, 4-cyanobenzoic acid, and 4-(4-pyridyl)benzoic acid under basic conditions to yield [Ru(vinyl)(O2CC5H4N)(CO)(PPh3)2], [Ru(vinyl)(O2CC6H4CN-4)(CO)(PPh3)2], and [Ru(vinyl){O2CC6H4(C5H4N)-4}(CO)(PPh3)2], respectively. The osmium analogue [Os(CH-CHC6H4Me-4)(O2CC5H4N)(CO)(PPh3)2] was also prepared. cis-[RuCl2(dppm)2] was used to prepare the cationic compounds [Ru(O2CC5H4N)(dppm)2](+) and [Ru{O2CC6H4(C5H4N)-4}(dppm)2](+). The treatment of 2 equiv of [Ru(C(C=CPh)-CHPh)(O2CC5H4N)(CO)(PPh3)2] and [Ru(O2CC5H4N)(dppm)2](+) with AgOTf led to the trimetallic compounds [{Ru(C(C=CPh)-CHPh)(CO)(PPh3)2(O2CC5H4N)}2Ag](+) and [{Ru(dppm)2(O2CC5H4N)}2Ag](3+). In a similar manner, the reaction of [Ru(O2CC5H4N)(dppm)2](+) with PdCl2 or K2PtCl4 yielded [{Ru(dppm)2(O2CC5H4N)}2MCl2](2+) (M = Pd, Pt). The reaction of [RuHCl(CO)(BTD)(PPh3)2] with HC=CC6H4F-4 provided [Ru(CH-CHC6H4F-4)Cl(CO)(BTD)(PPh3)2], which was treated with isonicotinic acid and base to yield [Ru(CH-CHC6H4F-4)(O2CC5H4N)(CO)(PPh3)2]. The addition of [Au(C6F5)(tht)] (tht = tetrahydrothiophene) resulted in the formation of [Ru(CH-CHC6H4F-4){O2CC5H4N(AuC6F5)}(CO)(PPh3)2]. Similarly, [Ru(vinyl)(O2CC6H4CN-4)(CO)(PPh3)2] reacted with [Au(C6F5)(tht)] to provide [Ru(vinyl){O2CC6H4(CNAuC6F5)-4}(CO)(PPh3)2]. The reaction of 4-cyanobenzoic acid with [Au(C6F5)(tht)] yielded [Au(C6F5)(NCC6H4CO2H-4)]. This compound was used to prepare [Ru(CH-CHC6H4F-4){O2CC6H4(CNAuC6F5)-4}(CO)(PPh3)2], which was also formed on treatment of [Ru(CH-CHC6H4F-4)(O2CC6H4CN-4)(CO)(PPh3)2] with [Au(C6F5)(tht)]. The known compound [RhCl2(NC5H4CO2)(NC5H4CO2Na)3] and the new complex [RhCl2{NC5H4(C6H4CO2)-4}{NC5H4(C6H4CO2Na)-4}3] were prepared from RhCl3·3H2O and isonicotinic acid or 4-(4-pyridyl)benzoic acid, respectively. The former was treated with [Ru(CH-CHC6H4Me-4)Cl(CO)(BTD)(PPh3)2] to yield [RhCl2{NC5H4CO2(Ru(CH-CHC6H4Me-4)(CO)(PPh3)2}4]Cl. As an alternative route to pentametallic compounds, the Pd-coordinated porphyrin [(Pd-TPP)(p-CO2H)4] was treated with 4 equiv of [Ru(CH-CHR)Cl(CO)(BTD)(PPh3)2] in the presence of a base to yield [(Pd-TPP){p-CO2Ru(CH-CHR)(CO)(PPh3)2}4] (R = C6H4Me-4, CPh2OH). Where R = CPh2OH, treatment with HBF4 led to the formation of [(Pd-TPP){p-CO2Ru(-CHCH-CPh2)(CO)(PPh3)2}4](BF4)4. [(Pd-TPP){p-CO2Ru(dppm)2}4](PF6)4 was prepared from [(Pd-TPP)(p-CO2H)4] and cis-[RuCl2(dppm)2]. The reaction of AgNO3 with sodium borohydride in the presence of [Ru(O2CC5H4N)(dppm)2](+) or [RuR{O2CC6H4(C5H4N)-4}(dppm)2](+) provided silver nanoparticles Ag@[NC5H4CO2Ru(dppm)2](+) and Ag@[NC5H4{C6H4CO2Ru(dppm)2}-4](+).
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- 2013
28. The clinical characteristics of patients with glaucoma presenting to Botswana healthcare facilities: an observational study
- Author
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Jackson, DJ, Razai, MS, Falama, R, Mongwa, M, Mutapanduwa, M, Baemisi, C, Josiah, E, Nkomazana, O, Lehasa, A, Brealey, E, White, AJ, Jankowski, D, Kerr-Muir, MG, Martin, KR, Ngondi, JM, Jackson, DJ, Razai, MS, Falama, R, Mongwa, M, Mutapanduwa, M, Baemisi, C, Josiah, E, Nkomazana, O, Lehasa, A, Brealey, E, White, AJ, Jankowski, D, Kerr-Muir, MG, Martin, KR, and Ngondi, JM
- Abstract
OBJECTIVE: This study aimed to establish the clinical characteristics of patients with glaucoma attending eye care facilities in Botswana, and management of glaucoma among patients who received care in these facilities. The study also aimed to calculate the number of new diagnoses of glaucoma within the glaucoma service. DESIGN: A prospective, hospital-based, observational study. SETTING: A multicentre study was undertaken in government-run eye departments in Botswana from June to August 2012. PARTICIPANTS: All patients with a diagnosis of glaucoma attending clinics at seven study sites were invited to participate. OUTCOME MEASURES: Examination findings, diagnosis and management were extracted from individual patient-held medical charts. Sociodemographic characteristics, patient knowledge and understanding of glaucoma were assessed through face-to-face interviews. In addition, details of outpatient attendances for 2011 were collected from 21 government-run hospitals. RESULTS: The majority of the 366 patients interviewed had a diagnosis of primary glaucoma (86.6%). The diagnoses were mainly made by ophthalmologists (48.6%) and ophthalmic nurses (44.0%). Many patients (38.5%) had been symptomatic for over 6 months before visiting an eye clinic. The mean presenting intraocular pressure was 28.2 mm Hg (SD 11.9 mm Hg). Most follow-up patients (79.2%) had not received surgery, however, many (89.5%) would accept surgery. Only 11.5% of participants had heard of glaucoma prior to diagnosis. Many participants (35.9%) did not understand glaucoma after being diagnosed. The majority (94.9%) of living first-degree relatives had never been examined. The number of newly diagnosed glaucoma cases for 2011 in the south of the country was 14.1/100,000; 95% CI (12.0 to 16.5), in the north it was 16.2/100,000; 95% CI (13.8 to 19.0). CONCLUSIONS: Glaucoma is a significant burden that presents challenges to ophthalmic services in Botswana. Many patients have limited understanding of the co
- Published
- 2014
29. Common variants near ABCA1, AFAP1 and GMDS confer risk of primary open-angle glaucoma
- Author
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Gharahkhani, P, Burdon, KP, Fogarty, R, Sharma, S, Hewitt, AW, Martin, S, Law, MH, Cremin, K, Bailey, JNC, Loomis, SJ, Pasquale, LR, Haines, JL, Hauser, MA, Viswanathan, AC, McGuffin, P, Topouzis, F, Foster, PJ, Graham, SL, Casson, RJ, Chehade, M, White, AJ, Zhou, T, Souzeau, E, Landers, J, Fitzgerald, JT, Klebe, S, Ruddle, JB, Goldberg, I, Healey, PR, Mills, RA, Wang, JJ, Montgomery, GW, Martin, NG, Radford-Smith, G, Whiteman, DC, Brown, MA, Wiggs, JL, Mackey, DA, Mitchell, P, MacGregor, S, Craig, JE, Gharahkhani, P, Burdon, KP, Fogarty, R, Sharma, S, Hewitt, AW, Martin, S, Law, MH, Cremin, K, Bailey, JNC, Loomis, SJ, Pasquale, LR, Haines, JL, Hauser, MA, Viswanathan, AC, McGuffin, P, Topouzis, F, Foster, PJ, Graham, SL, Casson, RJ, Chehade, M, White, AJ, Zhou, T, Souzeau, E, Landers, J, Fitzgerald, JT, Klebe, S, Ruddle, JB, Goldberg, I, Healey, PR, Mills, RA, Wang, JJ, Montgomery, GW, Martin, NG, Radford-Smith, G, Whiteman, DC, Brown, MA, Wiggs, JL, Mackey, DA, Mitchell, P, MacGregor, S, and Craig, JE
- Abstract
Primary open-angle glaucoma (POAG) is a major cause of irreversible blindness worldwide. We performed a genome-wide association study in an Australian discovery cohort comprising 1,155 cases with advanced POAG and 1,992 controls. We investigated the association of the top SNPs from the discovery stage in two Australian replication cohorts (932 cases and 6,862 controls total) and two US replication cohorts (2,616 cases and 2,634 controls total). Meta-analysis of all cohorts identified three loci newly associated with development of POAG. These loci are located upstream of ABCA1 (rs2472493[G], odds ratio (OR) = 1.31, P = 2.1 × 10(-19)), within AFAP1 (rs4619890[G], OR = 1.20, P = 7.0 × 10(-10)) and within GMDS (rs11969985[G], OR = 1.31, P = 7.7 × 10(-10)). Using RT-PCR and immunolabeling, we show that these genes are expressed within human retina, optic nerve and trabecular meshwork and that ABCA1 and AFAP1 are also expressed in retinal ganglion cells.
- Published
- 2014
30. Thermodynamic analysis of the reverse Joule-Brayton cycle heat pump for domestic heating
- Author
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White, AJ, White, Alexander [0000-0002-9118-8437], and Apollo - University of Cambridge Repository
- Subjects
Heat pump ,SYSTEMS ,Domestic heating ,Reverse Joule-Brayton ,PERFORMANCE ANALYSIS ,OPTIMIZATION - Abstract
The paper presents an analysis of the effects of irreversibility on the performance of a reverse Joule–Brayton cycle heat pump for domestic heating applications. Both the simple and recuperated (regenerative) cycle are considered at a variety of operating conditions corresponding to traditional (radiator) heating systems and low-temperature underfloor heating. For conditions representative of typical central heating in the UK, the simple cycle has a low work ratio and so very high compression and expansion efficiencies and low pressure losses are required to obtain a worthwhile COP. An approximate analysis suggests that these low loss levels would not necessarily be impossible to achieve, but further investigation is required, particularly regarding irreversible heat transfer to and from cylinder walls. In principle, recuperation improves the cycle work ratio, thereby making it less susceptible to losses, but in practice this advantage is compromised when realistic values of recuperator effectiveness are considered.
- Published
- 2009
31. Incidence, outcomes, and risk factors for retreatment after wavefront-optimized ablations with PRK and LASIK
- Author
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Stulting Rd, Hu Mh, Randleman Jb, White Aj, and Michael J. Lynn
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Adult ,Male ,Reoperation ,medicine.medical_specialty ,genetic structures ,Adolescent ,medicine.medical_treatment ,education ,Population ,Keratomileusis, Laser In Situ ,Visual Acuity ,Keratomileusis ,Astigmatism ,Photorefractive Keratectomy ,Optics ,Risk Factors ,Ophthalmology ,Myopia ,Medicine ,Humans ,Dioptre ,Aged ,Retrospective Studies ,education.field_of_study ,business.industry ,Incidence (epidemiology) ,Incidence ,LASIK ,Retrospective cohort study ,Middle Aged ,medicine.disease ,humanities ,eye diseases ,Photorefractive keratectomy ,Hyperopia ,Treatment Outcome ,Surgery ,Female ,Lasers, Excimer ,sense organs ,business - Abstract
Purpose: To analyze and compare retreatment rates after wavefront-optimized photorefractive keratectomy (PRK) and LASIK and determine risk factors for retreatment. Methods: A retrospective chart review was performed to identify patients undergoing PRK or LASIK with the wavefront-optimized WaveLight platform from January 2005 through December 2006 targeted for a plano outcome and to determine the rate and risk factors for retreatment surgery in this population. Results: Eight hundred fifty-five eyes were analyzed, including 70 (8.2%) eyes with hyperopic refractions and 785 (91.8%) eyes with myopic refractions. After initial treatment, 72% of eyes were 20/20 or better and 99.5% were 20/40 or better. To improve uncorrected visual acuity, 54 (6.3%) eyes had retreatments performed. No significant differences in retreatment rates were noted based on age ( P =.15), sex ( P =.8), eye ( P =.3), PRK versus LASIK ( P =1.0), room temperature ( P =.1) or humidity ( P =.9), and no correlation between retreatment rate and month or season of primary surgery ( P =.4). There was no correlation between degree of myopia and retreatment rate. Eyes were significantly more likely to undergo retreatment if they were hyperopic (12.8% vs 6.0%, P =.006) or had astigmatism ⩾1.00 diopter (D) (9.1% vs 5.3%, P =.04). Conclusions: Retreatment rate was 6.3% with the WaveLight ALLEGRETTO WAVE excimer laser. This rate was not influenced by age, sex, corneal characteristics, or environmental factors. Eyes with hyperopic refractions or astigmatism ⩾1.00 D were more likely to undergo retreatment. [ J Refract Surg . 2009;25:273–276.]
- Published
- 2009
32. Reduction in Ophthalmic Presentations to Australian Emergency Departments During the COVID-19 Period: Are We Seeing the Full Picture?
- Author
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Kam AW, Gunasekaran N, Chaudhry SG, Vukasovic M, White AJR, and Fung AT
- Subjects
covid-19 ,emergency medicine ,ophthalmic epidemiology ,retinal detachment ,public health ,Ophthalmology ,RE1-994 - Abstract
Andrew W Kam,1– 3 Nathan Gunasekaran,1 Sarah G Chaudhry,1 Matthew Vukasovic,4 Andrew JR White,1,3,5 Adrian T Fung1,3,5,6 1Department of Ophthalmology, Westmead Hospital, Westmead, New South Wales, Australia; 2Executive Unit, Westmead Hospital, Westmead, New South Wales, Australia; 3Westmead and Central Clinical Schools, Discipline of Clinical Ophthalmology and Eye Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia; 4Department of Emergency Medicine, Westmead Hospital, Westmead, New South Wales, Australia; 5The Westmead Institute for Medical Research, Westmead Hospital, Westmead, New South Wales, Australia; 6Department of Ophthalmology, Faculty of Medicine, Health and Human Sciences, Macquarie University, Macquarie Park, New South Wales, AustraliaCorrespondence: Adrian T FungDepartment of Ophthalmology, Westmead Hospital, Corner of Hawkesbury and Darcy Roads, Westmead, NSW 2145, AustraliaTel +1 612 9845 6668Email adrian.fung@sydney.edu.auPurpose: To examine changing patterns of ophthalmic presentations to emergency departments (EDs) during the lockdowns associated with the first wave of the COVID-19 pandemic in Australia and the two months immediately following lockdown relaxation.Patients and Methods: This was a retrospective audit of triage coding and ICD-10-AM coding for all patient presentations to four Australian EDs from March 29 to May 31 in 2019 and 2020 (the COVID-19 lockdown period and the corresponding period in 2019), and from June 1 to July 31 in 2019 and 2020 (the post-lockdown period and the corresponding period in 2019). Number of ophthalmic presentations triaged per day and number of seven common and/or time-sensitive, vision threatening ophthalmic diagnoses were examined. Differences in mean daily presentation numbers were assessed with non-paired Student’s t-test with Bonferroni correction.Results: Total ophthalmic presentations per day during COVID-19 lockdowns fell by 16% compared to the corresponding period in 2019 (13.0 ± 4.0 in 2019 vs 10.8 ± 3.3 in 2020, mean ± standard deviation; p=0.01). There was also a significant decrease in presentations of atraumatic retinal detachment, conjunctivitis, and eye pain. In the two months following easing of lockdown restrictions, total ophthalmic presentations per day returned to the same level as that of the corresponding period in 2019 (12.2 ± 4.3 in 2019 vs 12.3 ± 4.1 in 2020, p=0.97).Conclusion: Total ophthalmic presentations and presentations of atraumatic retinal detachment, conjunctivitis and, eye pain to EDs fell during the lockdowns associated with the first wave of COVID-19 in Australia. These may represent delays in patients seeking appropriate medical attention and may have implications on patient morbidity long after the COVID-19 pandemic.Keywords: COVID-19, emergency medicine, ophthalmic epidemiology, retinal detachment, public health
- Published
- 2021
33. Hypogammaglobulinemia in pediatric systemic lupus erythematosus
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Lim, E, primary, Tao, Y, additional, White, AJ, additional, French, AR, additional, and Cooper, MA, additional
- Published
- 2013
- Full Text
- View/download PDF
34. The use of electroconvulsive therapy in a patient with juvenile systemic lupus erythematosus and catatonia
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Mon, T, primary, L’Ecuyer, S, additional, Farber, NB, additional, White, AJ, additional, Baszis, KW, additional, Hearn, JK, additional, Spiegel, TE, additional, French, AR, additional, and Kitcharoensakkul, M, additional
- Published
- 2012
- Full Text
- View/download PDF
35. Investigation of Patients with Non Cystic Fibrosis (CF) Bronchiectasis (BE) in a District General Hospital.
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Pillai, AP, primary and White, AJ, additional
- Published
- 2009
- Full Text
- View/download PDF
36. Diagnosis and management of serious urinary complications after major operative laparoscopy
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Saidi, MH, primary, Sadler, RK, additional, Vancaillie, TG, additional, Akright, BD, additional, Farhart, SA, additional, and White, AJ, additional
- Published
- 1995
- Full Text
- View/download PDF
37. Inhibition of erosive dissolution by sodium fluoride: evidence for a dose-response.
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White AJ, Jones SB, Barbour ME, Churchley DR, Gracia LH, and Rees GD
- Published
- 2012
- Full Text
- View/download PDF
38. SITE INSPECTION OF STRUCTURAL STEELWORK.
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WEEKES, MJ, GAFFNEY, JA, ALLEN, PH, WEBB, RA, ARCH, WH, MATTHEWS, SJ, MAY, MA, PARDOE, A, KILBORN, NS, NEEDHAM, FH, WHITE, AJ, RANDALL, AL, ZOVICH, A, GROTT, A, and HAYWARD, ACG
- Published
- 1982
- Full Text
- View/download PDF
39. Differential effects of in vitro zinc treatment on gene expression in peripheral blood mononuclear cells derived from young and elderly individuals.
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Mazzatti DJ, Malavolta M, White AJ, Costarelli L, Giacconi R, Muti E, Cipriano C, Powell JR, and Mocchegiani E
- Published
- 2007
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40. Effect of perindopril on large artery stiffness and aortic root diameter in patients with Marfan syndrome: a randomized controlled trial.
- Author
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Ahimastos AA, Aggarwal A, D'Orsa KM, Formosa MF, White AJ, Savarirayan R, Dart AM, Kingwell BA, Ahimastos, Anna A, Aggarwal, Anuradha, D'Orsa, Kellie M, Formosa, Melissa F, White, Anthony J, Savarirayan, Ravi, Dart, Anthony M, and Kingwell, Bronwyn A
- Abstract
Context: Aortic stiffness is increased in Marfan syndrome contributing to aortic dilatation and rupture, the major cause of premature death in this population. Angiotensin-converting enzyme inhibitors have been shown to reduce arterial stiffness.Objective: To determine whether perindopril therapy reduces aortic stiffness and attenuates aortic dilatation in patients with Marfan syndrome.Design, Setting, and Participants: A randomized, double-blind, placebo-controlled trial of 17 patients with Marfan syndrome (mean [SD], 33 [6] years) taking standard beta-blocker therapy, initiated in January 2004 and completed in September 2006, at Alfred Hospital Marfan Syndrome Clinic, Melbourne, Australia.Intervention: Patients were administered 8 mg/d of perindopril (n = 10) or placebo (n = 7) for 24 weeks.Main Outcome Measures: Indices of arterial stiffness were assessed via systemic arterial compliance, and central and peripheral pulse wave velocities. Aortic root diameters were assessed at 4 sites via transthoracic echocardiography.Results: Perindopril reduced arterial stiffness as indicated by increased systemic arterial compliance (mean [SEM], 0.33 [0.01] mL/mm Hg at baseline to 0.54 [0.04] mL/mm Hg at 24 weeks in perindopril group vs 0.30 [0.01] mL/mm Hg to 0.29 [0.01] mL/mm Hg in placebo group, P = .004), and reduced central (7.6 [0.4] m/s to 5.9 [0.3] m/s in perindopril group, P < .001 vs placebo) and peripheral (10.9 [0.4] m/s to 8.7 [0.4] m/s in perindopril group, P < .001 vs placebo) pulse wave velocities. In addition, perindopril significantly reduced aortic root diameters relative to placebo in both end-systole and end-diastole (P<.01 to P < .001 for all comparisons between groups). Although perindopril marginally reduced mean arterial pressure (from 81 [2] mm Hg to 80 [1] mm Hg in perindopril group vs 83 [2] mm Hg to 84 [3] mm Hg in placebo group, P = .004), the observed changes in both stiffness and left ventricular outflow tract diameter remained significant when mean arterial pressure was included as a covariate. Transforming growth factor beta (TGF-beta), which contributes to aortic degeneration in Marfan syndrome, was reduced by perindopril compared with placebo in both latent (59 [6] ng/mL to 45 [3] ng/mL in perindopril group, P = .01 vs placebo) and active (46 [2] ng/mL to 42 [1] ng/mL in perindopril group, P = .02 vs placebo) forms.Conclusions: Perindopril reduced both aortic stiffness and aortic root diameter in patients with Marfan syndrome taking standard beta-blocker therapy, possibly through attenuation of TGF-beta signaling. Large clinical trials are needed to assess the clinical benefit of angiotensin II blockade in Marfan syndrome.Trial Registration: clinicaltrials.gov Identifier: NCT00485368. [ABSTRACT FROM AUTHOR]- Published
- 2007
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- View/download PDF
41. Rituximab for the treatment of juvenile dermatomyositis: a report of four pediatric patients.
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Cooper MA, Willingham DL, Brown DE, French AR, Shih FF, and White AJ
- Abstract
OBJECTIVE: Juvenile dermatomyositis (DM) is a chronic inflammatory myopathy of childhood primarily affecting the muscles and skin. Treatment for juvenile DM is often difficult, and conventional therapies include corticosteroids and other immune suppressants. We reviewed the records of 4 patients with juvenile DM who received the B cell-depleting anti-CD20 monoclonal antibody rituximab to determine whether this therapy resulted in improved control of their juvenile DM. METHODS: This is a retrospective review of 4 pediatric patients ages 10-17 years with juvenile DM who were treated with rituximab. All patients were tested for myositis autoantibodies and received weekly rituximab infusions for a total of 4 doses. Two patients received repeat courses of rituximab 1 year after their first dose. Patients were followed up between 12 and 24 months after their first course of rituximab, and their strength, muscle enzymes, and rash were reviewed. RESULTS: One patient was positive for a myositis-specific antibody, anti-Mi-2, and demonstrated striking reductions in her muscle enzyme levels for 1 year after rituximab therapy. Following a second course of rituximab, this patient remained disease free for 14 months before requiring a third course of rituximab. Two myositis antibody-negative patients showed clinical improvement and tolerated lower doses of corticosteroids following treatment with rituximab. Finally, 1 patient had worsening of her disease following rituximab. CONCLUSION: These cases highlight the potential for anti-B cell therapies in the treatment of juvenile DM in both myositis-specific autoantibody-positive and -negative patients. [ABSTRACT FROM AUTHOR]
- Published
- 2007
- Full Text
- View/download PDF
42. Why are hospital-based nursing homes so costly? Relative importance of acuity and treatment setting.
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Pizer SD, White AJ, White C, Pizer, Steven D, White, Alan J, and White, Chapin
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- 2002
- Full Text
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43. Selective laser trabeculoplasty: current perspectives
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Leahy KE and White AJR
- Subjects
Ophthalmology ,RE1-994 - Abstract
Kate E Leahy,1 Andrew JR White1–3 1Westmead Hospital, Westmead, NSW, Australia; 2Centre for Vision Research, Westmead Millennium Institute, University of Sydney, Sydney, NSW, Australia; 3Save Sight Institute, University of Sydney, Sydney, NSW, Australia Abstract: Selective laser trabeculoplasty (SLT) has been used in the treatment of glaucoma for just over a decade. Here, we review the current literature in terms of suggested mechanism, efficacy, method of treatment, predictors of success, adverse events, repeatability, and cost of SLT. The exact mechanism by which SLT lowers intraocular pressure (IOP) remains unknown although circumstantial evidence has come in many forms in relation to structural alteration; oxidative stress and inflammatory responses; tight junction integrity; proliferative responses; and microbubble formation. SLT is as effective as argon laser trabeculoplasty and medications in reducing IOP in glaucoma and ocular hypertension. The treatment is not uniformly effective in all eyes, and its IOP-lowering effect decreases over time. High pretreatment IOP is the strongest predictor of success; however, significant pressure reduction has also been shown in normal-tension glaucoma and in patients already taking multiple antiglaucoma drops. Mild, transient adverse effects are common. Transient IOP spikes usually resolve quickly with or without antiglaucoma treatment but may be problematic in pigmented angles. The limited available evidence suggests SLT is repeatable and cost-effective for the treatment of glaucoma and ocular hypertension. Keywords: glaucoma, SLT, ocular hypertension, intraocular pressure
- Published
- 2015
44. A simple method for measuring severely reduced glomerular filtration rate.
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White AJ, Rachalewska M, and Venkannagari R
- Published
- 2000
45. Cook Bicentenary Index: Royal Society Collection
- Author
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White, AJ and White, AJ
- Abstract
Cook Bicentenary Presented by A.J.White, Agent-General, London, 1970 to commemorate the bi-centenary of Cook's landing. Cook Bicentenary gift. RS.107 1. Captain James Cook, circa 1820 Engraving by W.Hall, from the painting by Nathaniel Dance (1776), printed by Fisher, Son & Co., with facsimile of Cook's signature. Printed about 1820. This print has been mounted and inscribed (on mount) 'To the Trustees, Royal Society of Tasmania, Greetings & Salutations'. This print was carried as a despatch on the Barquentine "Regina Maris" to commemorate the 200th Anniversary of the voyage made by Captain Cook in the "Endeavour" when he discovered the East Coast of Australia in the year 1770. The "Regina Maris" followed the track taken by Captain Cook. [signed] A.J.White, Agent General for Tasmania' (Engraved print, mounted) RS. 107/l 2. Newspaper cutting (The Times) on sale of Cook's log book and journal. 29 November 1960 RS.107/2 3. "James Cook, his early life and the Endeavour voyage. An introduction to a bicentenary exhibition arranged by the National Library of Australia". Canberra 1970. [by Pauline Fanning]. (Pamphlet) RS.107
46. Cook Bicentenary Index: Royal Society Collection
- Author
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White, AJ and White, AJ
- Abstract
Cook Bicentenary Presented by A.J.White, Agent-General, London, 1970 to commemorate the bi-centenary of Cook's landing. Cook Bicentenary gift. RS.107 1. Captain James Cook, circa 1820 Engraving by W.Hall, from the painting by Nathaniel Dance (1776), printed by Fisher, Son & Co., with facsimile of Cook's signature. Printed about 1820. This print has been mounted and inscribed (on mount) 'To the Trustees, Royal Society of Tasmania, Greetings & Salutations'. This print was carried as a despatch on the Barquentine "Regina Maris" to commemorate the 200th Anniversary of the voyage made by Captain Cook in the "Endeavour" when he discovered the East Coast of Australia in the year 1770. The "Regina Maris" followed the track taken by Captain Cook. [signed] A.J.White, Agent General for Tasmania' (Engraved print, mounted) RS. 107/l 2. Newspaper cutting (The Times) on sale of Cook's log book and journal. 29 November 1960 RS.107/2 3. "James Cook, his early life and the Endeavour voyage. An introduction to a bicentenary exhibition arranged by the National Library of Australia". Canberra 1970. [by Pauline Fanning]. (Pamphlet) RS.107
47. Cook Bicentenary Index: Royal Society Collection
- Author
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White, AJ and White, AJ
- Abstract
Cook Bicentenary Presented by A.J.White, Agent-General, London, 1970 to commemorate the bi-centenary of Cook's landing. Cook Bicentenary gift. RS.107 1. Captain James Cook, circa 1820 Engraving by W.Hall, from the painting by Nathaniel Dance (1776), printed by Fisher, Son & Co., with facsimile of Cook's signature. Printed about 1820. This print has been mounted and inscribed (on mount) 'To the Trustees, Royal Society of Tasmania, Greetings & Salutations'. This print was carried as a despatch on the Barquentine "Regina Maris" to commemorate the 200th Anniversary of the voyage made by Captain Cook in the "Endeavour" when he discovered the East Coast of Australia in the year 1770. The "Regina Maris" followed the track taken by Captain Cook. [signed] A.J.White, Agent General for Tasmania' (Engraved print, mounted) RS. 107/l 2. Newspaper cutting (The Times) on sale of Cook's log book and journal. 29 November 1960 RS.107/2 3. "James Cook, his early life and the Endeavour voyage. An introduction to a bicentenary exhibition arranged by the National Library of Australia". Canberra 1970. [by Pauline Fanning]. (Pamphlet) RS.107
48. Cook Bicentenary Index: Royal Society Collection
- Author
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White, AJ and White, AJ
- Abstract
Cook Bicentenary Presented by A.J.White, Agent-General, London, 1970 to commemorate the bi-centenary of Cook's landing. Cook Bicentenary gift. RS.107 1. Captain James Cook, circa 1820 Engraving by W.Hall, from the painting by Nathaniel Dance (1776), printed by Fisher, Son & Co., with facsimile of Cook's signature. Printed about 1820. This print has been mounted and inscribed (on mount) 'To the Trustees, Royal Society of Tasmania, Greetings & Salutations'. This print was carried as a despatch on the Barquentine "Regina Maris" to commemorate the 200th Anniversary of the voyage made by Captain Cook in the "Endeavour" when he discovered the East Coast of Australia in the year 1770. The "Regina Maris" followed the track taken by Captain Cook. [signed] A.J.White, Agent General for Tasmania' (Engraved print, mounted) RS. 107/l 2. Newspaper cutting (The Times) on sale of Cook's log book and journal. 29 November 1960 RS.107/2 3. "James Cook, his early life and the Endeavour voyage. An introduction to a bicentenary exhibition arranged by the National Library of Australia". Canberra 1970. [by Pauline Fanning]. (Pamphlet) RS.107
49. Evaluation of a Tooth-Wear Age Index for Brushtail Possums, Trichosurus-Vulpecula
- Author
-
Cowan, PE, primary and White, AJ, additional
- Published
- 1989
- Full Text
- View/download PDF
50. Vancomycin-induced DRESS with evidence of T-cell activation in a 22-month-old patient.
- Author
-
Kitcharoensakkul M, Ree N, Bloomberg GR, Dehner LP, Heidingsfelder JA, White AJ, and Cooper MA
- Published
- 2012
- Full Text
- View/download PDF
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