Marie Curie
nonprofitLondon, United Kingdom
Research output, citation impact, and the most-cited recent papers from Marie Curie (United Kingdom). Aggregated across the NobleBlocks index of 300M+ scholarly works.
Top-cited papers from Marie Curie
Abstract The two main principles underlying the use of isentropic maps of potential vorticity to represent dynamical processes in the atmosphere are reviewed, including the extension of those principles to take the lower boundary condition into account. the first is the familiar Lagrangian conservation principle, for potential vorticity (PV) and potential temperature, which holds approximately when advective processes dominate frictional and diabatic ones. the second is the principle of ‘invertibility’ of the PV distribution, which holds whether or not diabatic and frictional processes are important. the invertibility principle states that if the total mass under each isentropic surface is specified, then a knowledge of the global distribution of PV on each isentropic surface and of potential temperature at the lower boundary (which within certain limitations can be considered to be part of the PV distribution) is sufficient to deduce, diagnostically, all the other dynamical fields, such as winds, temperatures, geopotential heights, static stabilities, and vertical velocities, under a suitable balance condition. the statement that vertical velocities can be deduced is related to the well‐known omega equation principle, and depends on having sufficient information about diabatic and frictional processes. Quasi‐geostrophic, semigeostrophic, and ‘nonlinear normal mode initialization’ realizations of the balance condition are discussed. an important constraint on the mass‐weighted integral of PV over a material volume and on its possible diabatic and frictional change is noted. Some basic examples are given, both from operational weather analyses and from idealized theoretical models, to illustrate the insights that can be gained from this approach and to indicate its relation to classical synoptic and air‐mass concepts. Included are discussions of (a) the structure, origin and persistence of cutoff cyclones and blocking anticyclones, (b) the physical mechanisms of Rossby wave propagation, baroclinic instability, and barotropic instability, and (c) the spatially and temporally nonuniform way in which such waves and instabilities may become strongly nonlinear, as in an occluding cyclone or in the formation of an upper air shear line. Connections with principles derived from synoptic experience are indicated, such as the ‘PVA rule’ concerning positive vorticity advection on upper air charts, and the role of disturbances of upper air origin, in combination with low‐level warm advection, in triggering latent heat release to produce explosive cyclonic development. In all cases it is found that time sequences of isentropic potential vorticity and surface potential temperature charts—which succinctly summarize the combined effects of vorticity advection, thermal advection, and vertical motion without requiring explicit knowledge of the vertical motion field—lead to a very clear and complete picture of the dynamics. This picture is remarkably simple in many cases of real meteorological interest. It involves, in principle, no sacrifices in quantitative accuracy beyond what is inherent in the concept of balance, as used for instance in the initialization of numerical weather forecasts.
Although there is a lively academic debate about contemporary populism in Europe and Latin America, almost no cross-regional research exists on this topic. This article aims to fill this gap by showing that a minimal and ideological definition of populism permits us to analyse current expressions of populism in both regions. Moreover, based on a comparison of four prototypical cases (FN/Le Pen and FPÖ/Haider in Europe and PSUV/Chávez and MAS/Morales in Latin America), we show that it is possible to identify two regional subtypes of populism: exclusionary populism in Europe and inclusionary populism in Latin America.
Abstract Why does nature love symmetry? In this up-to-date review of symmetry and its evolutionary implications, Anders M/oller and John Swaddle argue that symmetry is related to genetic stability and fitness and that symmetric individuals appear to have quantifiable and significant advantages over their asymmetric counterparts. In contrast, asymmetry, a common measure of developmental instability, is the result of environmental or genetic disruptions of developmental processes, such as pollutants, competition, parasitism, inbreeding, genetic mutation, and hybridization. M/oller and Swaddle maintain that deviations from morphological symmetry are important factors in social or sexual situations: animals may be able to use symmetry as an honest indication of quality when assessing potential mates or competitors. This comprehensive review of the literature on developmental stability will be important reading for students and researchers in the fields of ecology, evolutionary biology, genetics, and animal behavior.
Research on lignin deconstruction has recently become the center of interest for scientists and companies worldwide, racing towards harvesting fossil-fuel like aromatic compounds which are so durably put together by plants as products of millions of years of evolution. The natural complexity and high stability of lignin bonds (also as an evolutionary adaptation by plants) makes lignin depolymerization a highly challenging task. Several efforts have been directed towards a more profound understanding of the structure and composition of lignin in order to devise pathways to break down the biopolymer into useful compounds. The present contribution aims to provide an overview of key advances in the field of lignin depolymerisation. Protocols and technologies will be discussed as well as critically evaluated in terms of possibilities and potential for further industrial implementation.
Full integration of oncology and palliative care relies on the specific knowledge and skills of two modes of care: the tumour-directed approach, the main focus of which is on treating the disease; and the host-directed approach, which focuses on the patient with the disease. This Commission addresses how to combine these two paradigms to achieve the best outcome of patient care. Randomised clinical trials on integration of oncology and palliative care point to health gains: improved survival and symptom control, less anxiety and depression, reduced use of futile chemotherapy at the end of life, improved family satisfaction and quality of life, and improved use of health-care resources. Early delivery of patient-directed care by specialist palliative care teams alongside tumour-directed treatment promotes patient-centred care. Systematic assessment and use of patient-reported outcomes and active patient involvement in the decisions about cancer care result in better symptom control, improved physical and mental health, and better use of health-care resources. The absence of international agreements on the content and standards of the organisation, education, and research of palliative care in oncology are major barriers to successful integration. Other barriers include the common misconception that palliative care is end-of-life care only, stigmatisation of death and dying, and insufficient infrastructure and funding. The absence of established priorities might also hinder integration more widely. This Commission proposes the use of standardised care pathways and multidisciplinary teams to promote integration of oncology and palliative care, and calls for changes at the system level to coordinate the activities of professionals, and for the development and implementation of new and improved education programmes, with the overall goal of improving patient care. Integration raises new research questions, all of which contribute to improved clinical care. When and how should palliative care be delivered? What is the optimal model for integrated care? What is the biological and clinical effect of living with advanced cancer for years after diagnosis? Successful integration must challenge the dualistic perspective of either the tumour or the host, and instead focus on a merged approach that places the patient's perspective at the centre. To succeed, integration must be anchored by management and policy makers at all levels of health care, followed by adequate resource allocation, a willingness to prioritise goals and needs, and sustained enthusiasm to help generate support for better integration. This integrated model must be reflected in international and national cancer plans, and be followed by developments of new care models, education and research programmes, all of which should be adapted to the specific cultural contexts within which they are situated. Patient-centred care should be an integrated part of oncology care independent of patient prognosis and treatment intention. To achieve this goal it must be based on changes in professional cultures and priorities in health care.
We study reflected solutions of one-dimensional backward stochastic differential equations. The “reflection” keeps the solution above a given stochastic process. We prove uniqueness and existence both by a fixed point argument and by approximation via penalization. We show that when the coefficient has a special form, then the solution of our problem is the value function of a mixed optimal stopping–optimal stochastic control problem. We finally show that, when put in a Markovian framework, the solution of our reflected BSDE provides a probabilistic formula for the unique viscosity solution of an obstacle problem for a parabolic partial differential equation.
BACKGROUND: Increasing numbers of people will die with dementia, many in the acute hospital. It is often not perceived to be a life-limiting illness. AIMS: To investigate the prevalence of dementia in older people undergoing emergency medical admission and its effect on outcomes. METHOD: Longitudinal cohort study of 617 people (aged over 70). The main outcome was mortality risk during admission. RESULTS: Of the cohort, 42.4% had dementia (only half diagnosed prior to admission). In men aged 70-79, dementia prevalence was 16.4%, rising to 48.8% of those over 90. In women, 29.6% aged 70-79 had dementia, rising to 75.0% aged over 90. Urinary tract infection or pneumonia was the principal cause of admission in 41.3% of the people with dementia. These individuals had markedly higher mortality; 24.0% of those with severe cognitive impairment died during admission (adjusted mortality risk 4.02, 95% CI 2.24-7.36). CONCLUSIONS: The rising prevalence of dementia will have an impact on acute hospitals. Extra resources will be required for intermediate and palliative care and mental health liaison services.
It is widely held that cells with metastatic properties such as invasiveness and expression of matrix metalloproteinases arise through the stepwise accumulation of genetic lesions arising from genetic instability and "clonal evolution." By contrast, we show here that in melanomas invasiveness can be regulated epigenetically by the microphthalmia-associated transcription factor, Mitf, via regulation of the DIAPH1 gene encoding the diaphanous-related formin Dia1 that promotes actin polymerization and coordinates the actin cytoskeleton and microtubule networks at the cell periphery. Low Mitf levels lead to down-regulation of Dia1, reorganization of the actin cytoskeleton, and increased ROCK-dependent invasiveness, whereas increased Mitf expression leads to decreased invasiveness. Significantly the regulation of Dia1 by Mitf also controls p27(Kip1)-degradation such that reduced Mitf levels lead to a p27(Kip1)-dependent G1 arrest. Thus Mitf, via regulation of Dia1, can both inhibit invasiveness and promote proliferation. The results imply variations in the repertoire of environmental cues that determine Mitf activity will dictate the differentiation, proliferative, and invasive/migratory potential of melanoma cells through a dynamic epigenetic mechanism.
A family of five dinuclear lanthanide complexes has been synthesized with general formula [Ln(III)(2)(valdien)(2)(NO(3))(2)] where (H(2)valdien = N1,N3-bis(3-methoxysalicylidene)diethylenetriamine) and Ln(III) = Eu(III)1, Gd(III)2, Tb(III)3, Dy(III)4, and Ho(III)5. The magnetic investigations reveal that 4 exhibits single-molecule magnet (SMM) behavior with an anisotropic barrier U(eff) = 76 K. The step-like features in the hysteresis loops observed for 4 reveal an antiferromagnetic exchange coupling between the two dysprosium ions. Ab initio calculations confirm the weak antiferromagnetic interaction with an exchange constant J(Dy-Dy) = -0.21 cm(-1). The observed steps in the hysteresis loops correspond to a weakly coupled system similar to exchange-biased SMMs. The Dy(2) complex is an ideal candidate for the elucidation of slow relaxation of the magnetization mechanism seen in lanthanide systems.
BACKGROUND: Primary open angle glaucoma and ocular hypertension are habitually treated with eye drops that lower intraocular pressure. Selective laser trabeculoplasty is a safe alternative but is rarely used as first-line treatment. We compared the two. METHODS: In this observer-masked, randomised controlled trial treatment-naive patients with open angle glaucoma or ocular hypertension and no ocular comorbidities were recruited between 2012 and 2014 at six UK hospitals. They were randomly allocated (web-based randomisation) to initial selective laser trabeculoplasty or to eye drops. An objective target intraocular pressure was set according to glaucoma severity. The primary outcome was health-related quality of life (HRQoL) at 3 years (assessed by EQ-5D). Secondary outcomes were cost and cost-effectiveness, disease-specific HRQoL, clinical effectiveness, and safety. Analysis was by intention to treat. This study is registered at controlled-trials.com (ISRCTN32038223). FINDINGS: Of 718 patients enrolled, 356 were randomised to the selective laser trabeculoplasty and 362 to the eye drops group. 652 (91%) returned the primary outcome questionnaire at 36 months. Average EQ-5D score was 0·89 (SD 0·18) in the selective laser trabeculoplasty group versus 0·90 (SD 0·16) in the eye drops group, with no significant difference (difference 0·01, 95% CI -0·01 to 0·03; p=0·23). At 36 months, 74·2% (95% CI 69·3-78·6) of patients in the selective laser trabeculoplasty group required no drops to maintain intraocular pressure at target. Eyes of patients in the selective laser trabeculoplasty group were within target intracoluar pressure at more visits (93·0%) than in the eye drops group (91·3%), with glaucoma surgery to lower intraocular pressure required in none versus 11 patients. Over 36 months, from an ophthalmology cost perspective, there was a 97% probability of selective laser trabeculoplasty as first treatment being more cost-effective than eye drops first at a willingness to pay of £20 000 per quality-adjusted life-year gained. INTERPRETATION: Selective laser trabeculoplasty should be offered as a first-line treatment for open angle glaucoma and ocular hypertension, supporting a change in clinical practice. FUNDING: National Institute for Health Research, Health and Technology Assessment Programme.
OBJECTIVE: The IPDAS Collaboration has developed a checklist and an instrument (IPDASi v3.0) to assess the quality of patient decision aids (PDAs) in terms of their development process and shared decision-making design components. Certification of PDAs is of growing interest in the US and elsewhere. We report a modified Delphi consensus process to agree on IPDASi (v3.0) items that should be considered as minimum standards for PDA certification, for inclusion in the refined IPDASi (v4.0). METHODS: A 2-stage Delphi voting process considered the inclusion of IPDASi (v3.0) items as minimum standards. Item scores and qualitative comments were analyzed, followed by expert group discussion. RESULTS: One hundred and one people voted in round 1; 87 in round 2. Forty-seven items were reduced to 44 items across 3 new categories: 1) qualifying criteria, which are required in order for an intervention to be considered a decision aid (6 items); 2) certification criteria, without which a decision aid is judged to have a high risk of harmful bias (10 items); and 3) quality criteria, believed to strengthen a decision aid but whose omission does not present a high risk of harmful bias (28 items). CONCLUSIONS: This study provides preliminary certification criteria for PDAs. Scoring and rating processes need to be tested and finalized. However, the process of appraising the quality of the clinical evidence reported by the PDA should be used to complement these criteria; the proposed standards are designed to rate the quality of the development process and shared decision-making design elements, not the quality of the PDA's clinical content.
This paper classifies all memristors into three classes called Ideal, Generic, or Extended memristors. A subclass of Generic memristors is related to Ideal memristors via a one-to-one mathematical transformation, and is hence called Ideal Generic memristors. The concept of non-volatile memories is defined and clarified with illustrations. Several fundamental new concepts, including Continuum-memory memristor, POP (acronym for Power-Off Plot), DC V-I Plot, and Quasi DC V-I Plot, are rigorously defined and clarified with colorful illustrations. Among many colorful pictures the shoelace DC V-I Plot stands out as both stunning and illustrative. Even more impressive is that this bizarre shoelace plot has an exact analytical representation via 2 explicit functions of the state variable, derived by a novel parametric approach invented by the author.
Perhaps the most obvious manifestation of the complex interplay between environmental cues, signal transduction pathways, and transcription factors underlying the genesis and differentiation of a cell lineage is provided by the enormous diversity of genetically determined pigmentation patterns. Because melanocytes, the cells responsible for skin, hair, and eye color, are dispensable for viability, the highly visible consequences of mutations affecting the melanocyte lineage (Fig. 1) has allowed over 90 independent genes to be implicated in the genesis of mouse coat color (Mouse Genome Informatics: http:// www.informatics.jax.org/). The 30 or so of these genes that have been cloned to date (http://www.cbc.umn. edu/ifpcs/micemut.htm) not only encode proteins required for the manufacture of the pigment melanin and the function of the melanosome, but also encode signaling molecules and transcription factors that play critical roles in the development of the melanocyte lineage. This unusually large genetic resource which extends to a wide variety of species has made the regulation of melanocyte development an attractive system for understanding how the coordination of gene expression required for the commitment and differentiation of a specific cell lineage is achieved. Melanocytes originate as nonpigmented precursors termed melanoblasts in the mouse neural crest at around embryonic day 10.5 (E10.5), and following migration and proliferation reach the limb buds by E12 and enter the epidermis at the level of the lateral trunk by E13/E14 (Mayer 1973). Melanocytes are found as mature pigment cells in the skin and hair follicles, as well as a range of other sites where their role as pigment-producing cells is less understood. Thus, melanocytes are present in the choroid layer of the eye, the Harderian gland, the anal canal, and in the stria vascularis of the inner ear where they are crucial for hearing because they play a vital role in the endolymph-controlled generation of action potentials (Steel and Barkway 1989; Tachibana 1999). The effects of mutations affecting genes playing a key role in the melanocyte lineage may therefore be manifest at several levels: Mutations may affect genes required for differentiation-specific functions such as the genesis of pigment, or more interestingly from the developmental perspective, any step from the specification and commitment to the melanocyte lineage, to the survival, proliferation, and migration of melanoblasts from the neural crest. Interest in the melanocyte system is also afforded by the impact on melanocytes of ultraviolet (UV) light. In humans, epidermal melanocytes respond to UV irradiation by increasing the synthesis of melanin in membrane-bound structures termed melanosomes that are transferred to surrounding keratinocytes, a process known as the tanning response. At least one role for melanin is likely to be in protection against UV-induced DNA damage (Hill 1992). The incidence of UV-induced DNA damage, however, correlates with the risk of transformation of the melanocyte to a malignant melanoma, an aggressive and increasingly common form of cancer for which a proportion of the population have a genetic predisposition. The difficult path towards understanding the molecular and genetic basis of the progression from a melanocyte to a malignant melanoma has been made easier with recent observations that link the genesis of melanoma to deregulation of pathways operating in melanocyte development. The aim of this review is to provide an overview of how gene expression in neural crest-derived melanocytes is controlled by the interplay between specific transcription factors and signal transduction pathways. Because of limitations of space, the review focuses on the regulation of the expression and function of the Microphthalmia-associated transcription factor, Mitf. For the same reason, the development of the retinal pigment epithelium (RPE), the pigmented layer of cells lying immediately behind the retina which arises via differentiation of the posterior part of the optic cup, is not discussed.
BACKGROUND: delirium affects up to 40% of older hospitalised patients, but there has been no systematic review focussing on risk factors for incident delirium in older medical inpatients. We aimed to synthesise data on risk factors for incident delirium and where possible conduct meta-analysis of these. METHODS: PubMed and Web of Science databases were searched (January 1987-August 2013). Studies were quality rated using the Newcastle-Ottawa Scale. We used the Mantel-Haenszel and inverse variance method to estimate the pooled odds ratio (OR) or mean difference for individual risk factors. RESULTS: eleven articles met inclusion criteria and were included for review. Total study population 2338 (411 patients with delirium/1927 controls). The commonest factors significantly associated with delirium were dementia, older age, co-morbid illness, severity of medical illness, infection, 'high-risk' medication use, diminished activities of daily living, immobility, sensory impairment, urinary catheterisation, urea and electrolyte imbalance and malnutrition. In pooled analyses, dementia (OR 6.62; 95% CI (confidence interval) 4.30, 10.19), illness severity (APACHE II) (MD (mean difference) 3.91; 95% CI 2.22, 5.59), visual impairment (OR 1.89; 95% CI 1.03, 3.47), urinary catheterisation (OR 3.16; 95% CI 1.26, 7.92), low albumin level (MD -3.14; 95% CI -5.99, -0.29) and length of hospital stay (OR 4.85; 95% CI 2.20, 7.50) were statistically significantly associated with delirium. CONCLUSION: we identified risk factors consistently associated with incident delirium following admission. These factors help to highlight older acute medical inpatients at risk of developing delirium during their hospital stay.
The development of consensus guidelines for obesity is complex. It involves recommending both treatment interventions and interventions related to screening and prevention. With so many publications and claims, and with the awareness that success for the individual is short-lived, many find it difficult to know what action is appropriate in the management of obesity. Furthermore, the significant variation in existing service provision both within countries as well as across the regions of Europe makes a standardised approach, even if evidence-based, difficult to implement. In formulating these guidelines, we have attempted to use an evidence-based approach while allowing flexibility for the practicing clinician in domains where evidence is currently lacking and ensuring that in treatment there is recognition of clinical judgment and of regional diversity as well as the necessity of an agreed approach by the individual and family. We conclude that i) physicians have a responsibility to recognise obesity as a disease and help obese patients with appropriate prevention and treatment, ii) treatment should be based on good clinical care and evidence-based interventions and iii) obesity treatment should focus on realistic goals and lifelong management.
BACKGROUND: The use of enteral tube feeding for patients with advanced dementia who have poor nutritional intake is common. In one US survey 34% of 186,835 nursing home residents with advanced cognitive impairment were tube fed. Potential benefits or harms of this practice are unclear. OBJECTIVES: To evaluate the outcome of enteral tube nutrition for older people with advanced dementia who develop problems with eating and swallowing and/or have poor nutritional intake. SEARCH STRATEGY: The Specialized Register of the Cochrane Dementia and Cognitive Improvement Group (CDCIG), The Cochrane Library, MEDLINE, EMBASE, PsycINFO, CINAHL and LILACS were searched in April 2008. Citation checking was undertaken. Where it was not possible to accept or reject, the full text of the citation was obtained for further evaluation. SELECTION CRITERIA: Randomized controlled trials (RCTs), controlled clinical trials, controlled before and after studies and interrupted time series studies that evaluated the effectiveness of enteral feeding via a nasogastric tube or via a tube passed by percutaneous endoscopic gastrostomy (PEG) were planned to be included. In addition, controlled observational studies were included. The study population comprised adults aged 50 and over (either sex), with a diagnosis of primary degenerative dementia made according to validated diagnostic criteria such as DSM-IV or ICD-10 (APA 1994; WHO 1993) and with advanced cognitive impairment defined by a recognised and validated tool or by clinical assessment and had poor nutrition intake and/or develop problems with eating and swallowing. Where data were limited we also considered studies in which the majority of participants had dementia. DATA COLLECTION AND ANALYSIS: Data were independently extracted and assessed by one reviewer, checked by a second and if necessary, in the case of any disagreement or discrepancy it was planned that it would be reviewed by the third reviewer. Where information was lacking, we attempted contact with authors. It was planned that meta-analysis would be considered for RCTs with comparable key characteristics. The primary outcomes were survival and quality of life (QoL). MAIN RESULTS: No RCTs were identified. Seven observational controlled studies were identified. Six assessed mortality. The other study assessed nutritional outcomes. There was no evidence of increased survival in patients receiving enteral tube feeding. None of the studies examined QoL and there was no evidence of benefit in terms of nutritional status or the prevalence of pressure ulcers. AUTHORS' CONCLUSIONS: Despite the very large number of patients receiving this intervention, there is insufficient evidence to suggest that enteral tube feeding is beneficial in patients with advanced dementia. Data are lacking on the adverse effects of this intervention.
The tyrosinase gene is expressed specifically in melanocytes and the cells of the retinal pigment epithelium, which together are responsible for skin, hair, and eye color. By using a combination of DNase I footprinting and band shift assays coupled with mutagenesis of specific DNA elements, we examined the requirements for melanocyte-specific expression of the human tyrosinase promoter. We found that as little as 115 bp of the upstream sequence was sufficient to direct tissue-specific expression. This 115-bp stretch contains three positive elements: the M box, a conserved element found in other melanocyte-specific promoters; an Sp1 site; and a highly evolutionarily conserved element located between -14 and +1 comprising an E-box motif and an overlapping octamer element. In addition, two further elements, one positive and one negative, are located between positions -185 and -150 and positions -150 and -115, respectively. We also found that the basic helix-loop-helix factor encoded by the microphthalmia gene, which is essential for melanocyte differentiation, can transactivate the tyrosinase promoter via the M box and the conserved E box located close to the initiator. Since in vitro assays failed to identify any melanocyte-specific DNA-binding activity, the possibility that the specific arrangement of elements within the basal tyrosinase promoter determines melanocyte-specific expression is discussed.
Mark Franklin Cambridge: Cambridge University Press, 2004. £16.99, pbk; ISBN 0521541476; £45 hbk; ISBN 0521833647
BACKGROUND: Current human resources planning models in nursing are unreliable and ineffective as they consider volumes, but ignore effects on quality in patient care. The project RN4CAST aims innovative forecasting methods by addressing not only volumes, but quality of nursing staff as well as quality of patient care. METHODS/DESIGN: A multi-country, multilevel cross-sectional design is used to obtain important unmeasured factors in forecasting models including how features of hospital work environments impact on nurse recruitment, retention and patient outcomes. In each of the 12 participating European countries, at least 30 general acute hospitals were sampled. Data are gathered via four data sources (nurse, patient and organizational surveys and via routinely collected hospital discharge data). All staff nurses of a random selection of medical and surgical units (at least 2 per hospital) were surveyed. The nurse survey has the purpose to measure the experiences of nurses on their job (e.g. job satisfaction, burnout) as well as to allow the creation of aggregated hospital level measures of staffing and working conditions. The patient survey is organized in a sub-sample of countries and hospitals using a one-day census approach to measure the patient experiences with medical and nursing care. In addition to conducting a patient survey, hospital discharge abstract datasets will be used to calculate additional patient outcomes like in-hospital mortality and failure-to-rescue. Via the organizational survey, information about the organizational profile (e.g. bed size, types of technology available, teaching status) is collected to control the analyses for institutional differences.This information will be linked via common identifiers and the relationships between different aspects of the nursing work environment and patient and nurse outcomes will be studied by using multilevel regression type analyses. These results will be used to simulate the impact of changing different aspects of the nursing work environment on quality of care and satisfaction of the nursing workforce. DISCUSSION: RN4CAST is one of the largest nurse workforce studies ever conducted in Europe, will add to accuracy of forecasting models and generate new approaches to more effective management of nursing resources in Europe.
Analogous to the synthesis of MCM-41, a mesostructured product (shown schematically on the right) can be obtained from aqueous solutions of zirconium sulfate by addition of alkyltrimethylammonium salts. After a treatment with phosphoric acid, this material can be calcined without structural collapse. The resulting zirconium oxo phosphate shows BET surface areas of up to 400 m2 g−1.