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Experts Urge Revamping Of Long-Term Medicare Funding Mechanisms
Health policy experts see a major revamp of the long-term Medicare funding mechanisms as a critical part of health reform. Reuters reports that "Recent industry deals to accept lower costs for the Medicare health program are a first step in health care reform but more substantial payment changes will be needed to shore up the ailing system in the long-term and improve patient care. ... But some experts worry that much of the healthcare reform debate so far has focused on short-term cost cuts. Yet to be tackled is how to restructure incentives and payments to drive doctors, hospitals and others away from frequent, expensive treatments to more efficient, higher-quality care." Reuters reports on several efforts for long-term cost cutting: "One fundamental reform seen as badly needed is to link doctors" pay to improving their patients" health, rather than for each office visit, procedure or hospital admission. That approach would give providers one so-called "bundled" payment to cover a greater portion of a patient"s care. The U.S. healthcare overhaul should also boost payments for primary care. ... In the current system, specialists tend to take home the biggest payments."
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Pitt School Of Medicine's George K. Michalopoulos, M.D., Ph.D., Receives 2009 ASIP Rous-Whipple Award
George K. Michalopoulos, M.D., Ph.D., Maud L. Menten Professor and chair of pathology, University of Pittsburgh School of Medicine, has received the 2009 American Society for Investigative Pathology (ASIP) Rous-Whipple Award.
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What Is Post Traumatic Stress Disorder? What Is PTSD? What Causes PTSD?
PTSD (Post-Traumatic Stress Disorder) is triggered by a traumatic event - it is a kind of anxiety. The sufferer of PTSD may have experienced or seen an event that caused extreme fear, shock and/or a feeling of helplessness. Most of us experience a brief period of difficulty adjusting and coping with traumatic events. However, we gradually get better with time and healthy coping methods. On the other hand, there are times when symptoms get worse and may last for several months, or years. This study explains how PTSD can surface two years after a traumatic event. Another study found that one in eight Lower Manhattan residents likely had PTSD two to three years after the 9/11 attacks.
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Graphene's Versatility Promises New Applications

Since its discovery just a few years ago, graphene has climbed to the top of the heap of new super-materials poised to transform the electronics and nanotechnology landscape. As N.J. Tao, a researcher at the Biodesign Institute of Arizona State University explains, this two-dimensional honeycomb structure of carbon atoms is exceptionally strong and versatile. Its unusual properties make it ideal for applications that are pushing the existing limits of microchips, chemical sensing instruments, biosensors, ultracapacitance devices, flexible displays and other innovations. In the latest issue of Nature Nanotechnology Letters, Tao describes the first direct measurement of a fundamental property of graphene, known as quantum capacitance, using an electrochemical gate method. A better understanding of this crucial variable should prove invaluable to other investigators participating in what amounts to a gold rush of graphene research. Although theoretical work on single atomic layer graphene-like structures has been going on for decades, the discovery of real graphene came as a shock. "When they found it was a stable material at room temperature," Tao says, "everyone was surprised." As it happens, minute traces of graphene are shed whenever a pencil line is drawn, though producing a 2-D sheet of the material has proven trickier. Graphene is remarkable in terms of thinness and resiliency. A one-atom thick graphene sheet sufficient in size to cover a football field, would weigh less than a gram. It is also the strongest material in nature - roughly 200 times the strength of steel. Most of the excitement however, has to do with the unusual electronic properties of the material. Graphene displays outstanding electron transport, permitting electricity to flow rapidly and more or less unimpeded through the material. In fact, electrons have been shown to behave as massless particles similar to photons, zipping across a graphene layer without scattering. This property is critical for many device applications and has prompted speculation that graphene could eventually supplant silicon as the substance of choice for computer chips, offering the prospect of ultrafast computers operating at terahertz speeds, rocketing past current gigahertz chip technology. Yet, despite encouraging progress, a thorough understanding of graphene"s electronic properties has remained elusive. Tao stresses that quantum capacitance measurements are an essential part of this understanding. Capacitance is a material"s ability to store energy. In classical physics, capacitance is limited by the repulsion of like electrical charges, for example, electrons. The more charge you put into a device, the more energy you have to expend to contain it, in order to overcome charge repulsion. However, another kind of capacitance exists, and dominates overall capacitance in a two-dimensional material like graphene. This quantum capacitance is the result of the Pauli exclusion principle, which states that two fermions - a class of common particles including protons, neutrons and electrons - cannot occupy the same location at the same time. Once a quantum state is filled, subsequent fermions are forced to occupy successively higher energy states. As Tao explains, "it"s just like in a building, where people are forced to go to the second floor once the first level is occupied." In the current study, two electrodes were attached to graphene, and a voltage applied across the material"s two-dimensional surface by means of a third, gate electrode. Plots of voltage vs. capacitance can be seen in fig1. In Tao"s experiments, graphene"s ability to store charge according to the laws of quantum capacitance, were subjected to detailed measurement. The results show that graphene"s capacitance is very small. Further, the quantum capacitance of graphene did not precisely duplicate theoretical predictions for the behavior of ideal graphene. This is due to the fact that charged impurities occur in experimental samples of graphene, which alter the behavior relative to what is expected according to theory. Tao stresses the importance of these charged impurities and what they may mean for the development of graphene devices. Such impurities were already known to affect electron mobility in graphene, though their effect on quantum capacitance has only now been revealed. Low capacitance is particularly desirable for chemical sensing devices and biosensors as it produces a lower signal-to-noise ratio, providing for extremely fine-tuned resolution of chemical or biological agents. Improvements to graphene will allow its electrical behavior to more closely approximate theory. This can be accomplished by adding counter ions to balance the charges resulting from impurities, thereby further lowering capacitance. The sensitivity of graphene"s single atomic layer geometry and low capacitance promise a significant boost for biosensor applications. Such applications are a central topic of interest for Tao, who directs the Biodesign Institute"s Center for Bioelectronics and Biosensors. As Tao explains, any biological substance that interacts with graphene"s single atom surface layer can be detected, causing a huge change in the properties of the electrons. One possible biosensor application under consideration would involve functionalizing graphene"s surface with antibodies, in order to precisely study their interaction with specific antigens. Such graphene-based biosensors could detect individual binding events, given a suitable sample. For other applications, adding impurities to graphene could raise overall interfacial capacitance. Ultracapacitors made of graphene composites would be capable of storing much larger amounts of renewable energy from solar, wind or wave energy than current technologies permit. Because of graphene"s planar geometry, it may be more compatible with conventional electronic devices than other materials, including the much-vaunted carbon nanotubes. "You can imagine an atomic sheet, cut into different shapes to create different device properties," Tao says. Since the discovery of graphene, the hunt has been on for similar two-dimensional crystal lattices, though so far, graphene remains a precious oddity. Joe Caspermeyer Arizona State University


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