We apply a continuation method to recently optimized stellarator equilibria with excellent quasi-axisymmetry to generate new equilibria with a wide range of rotational transform profiles. Using these equilibria, we investigate how the rotational transform affects fast-particle confinement, the maximum coil–plasma distance, the maximum growth rate in linear gyrokinetic ion-temperature gradient simulations and the ion heat flux in corresponding nonlinear simulations. We find values of two-term quasi-symmetry error comparable to or lower than those of the similar Landreman–Paul (Phys. Rev. Lett., vol. 128, 2022, 035001) configuration for values of the mean rotational transform $\bar {\iota }$ between $0.12$ and $0.75$. The fast-particle confinement improves with $\bar {\iota }$ until $\bar {\iota } = 0.73$, at which point the degradation in quasi-symmetry outweighs the benefits of further increasing $\bar {\iota }$. The required coil–plasma distance only varies by about ${\pm }10\,\%$ for the configurations under consideration, and is between $2.8$ and $3.3\ \mathrm {m}$ when the configuration is scaled up to reactor size (minor radius $a=1.7\ \mathrm {m}$ and volume-averaged magnetic field strength of $5.86\ \mathrm {T}$). The maximum growth rate from linear gyrokinetic simulations increases with $\bar {\iota }$, but also shifts towards higher $k_y$ values. The maximum linear growth rate is sensitive to the choice of flux tube at rational $\bar {\iota }$, but this can be compensated for by taking the maximum over several flux tubes. The corresponding ion heat fluxes from nonlinear simulations display a non-monotonic relation to $\bar {\iota }$. Sufficiently large positive shear is destabilizing. This is reflected in both linear growth rates and nonlinear heat fluxes.

Elucidating the detailed process of ligand binding to a receptor is pharmaceutically important for identifying druggable binding sites. With the ability to provide atomistic detail, computational methods are well poised to study these processes. Here, accelerated molecular dynamics (aMD) is proposed to simulate processes of ligand binding to a G-protein-coupled receptor (GPCR), in this case the M3 muscarinic receptor, which is a target for treating many human diseases, including cancer, diabetes and obesity. Long-timescale aMD simulations were performed to observe the binding of three chemically diverse ligand molecules: antagonist tiotropium (TTP), partial agonist arecoline (ARc) and full agonist acetylcholine (ACh). In comparison with earlier microsecond-timescale conventional MD simulations, aMD greatly accelerated the binding of ACh to the receptor orthosteric ligand-binding site and the binding of TTP to an extracellular vestibule. Further aMD simulations also captured binding of ARc to the receptor orthosteric site. Additionally, all three ligands were observed to bind in the extracellular vestibule during their binding pathways, suggesting that it is a metastable binding site. This study demonstrates the applicability of aMD to protein–ligand binding, especially the drug recognition of GPCRs.

The technique of accelerator mass spectrometry (AMS) offers a complementary tool for studying long-lived radionuclides in nuclear astrophysics: (1) as a tool for investigating nucleosynthesis in the laboratory; and (2) via a direct search of live long-lived radionuclides in terrestrial archives as signatures of recent nearby supernova-events. A key ingredient to our understanding of nucleosynthesis is accurate cross-section data. AMS was applied for measurements of the neutron-induced cross sections 13C(n,γ) and 14N(n,p), both leading to the long-lived radionuclide 14C. Solid samples were irradiated at Karlsruhe Institute of Technology with neutrons closely resembling a Maxwell–Boltzmann distribution for kT = 25 keV, and with neutrons of energies between 123 and 178 keV. After neutron activation the amount of 14C nuclides in the samples was measured by AMS at the VERA (Vienna Environmental Research Accelerator) facility. Both reactions, 13C(n,γ)14C and 14N(n,p)14C, act as neutron poisons in s-process nucleosynthesis. However, previous experimental data are discordant. The new data for both reactions tend to be slightly lower than previous measurements for the 25 keV Maxwell–Boltzmann energy distribution. For the higher neutron energies no previous data did exist for 13C(n,γ), but model calculations indicated a strong resonance structure between 100 and 300 keV which is confirmed by our results. Very limited information is available for 14N(n,p) at these energies. Our new data at 123 and 178 keV suggest lower cross sections than expected from previous experiments and data evaluations.

Diagnosing ischaemic stroke and determining its cause is difficult in children. Both are important for selection of treatment and prediction of outcome. This study explored the diagnostic changes that lead to a delay in the correct diagnosis of paediatric stroke. Case histories of 45 children with ischaemic stroke (31 males, 14 females; median age 6y; age range 2mo–16y) were retrospectively reviewed. The initial clinical diagnosis, based on the interpretation of presenting symptoms, was compared with the final aetiological stroke diagnosis after completion and review of diagnostic work-up. The type of diagnostic change, consequent time delay until correct diagnosis, reasons for change of diagnosis, and alterations to management were evaluated. Twenty-four diagnostic changes were identified; 19 in ‘primary stroke diagnosis’ (symptoms initially not attributed to stroke), and five in ‘aetiological diagnosis’ (incorrect initial determination of type or cause of stroke). The median interval between initial and final diagnosis was 7 days (3h–2y). The change in diagnosis led to therapeutic alterations in 17 patients. Risk factors for childhood stroke differ from those in adults. Stroke is frequently not recognized as the cause of the child's symptoms, and the correct determination of stroke aetiology takes time. We recommend that children with stroke be evaluated in a centre with expertize, using standardized diagnostic protocols and careful follow-up.

In this paper we find conditions which guarantee that a given flow $\Phi$ on a compact metric space X admits a Lyapunov 1-form $\omega$ lying in a prescribed Čech cohomology class $\xi\in\check H^1(X;\mathbb{R})$. These conditions are formulated in terms of the restriction of $\xi$ to the chain recurrent set of $\Phi$. The result of the paper may be viewed as a generalization of a well-known theorem by Conley about the existence of Lyapunov functions.

Little is known about long-term physical sequelae, cognitive functioning, and quality of life of children who have had a haemorrhagic stroke. Fifty-six patients (29 females, 27 males) under 16 years of age at time of the bleeding were studied. Mean age at time of bleeding was 7.7 years (range 1 month to 15.9 years). The primary site and cause of the bleeding at baseline were determined. Occurrences of death, re-bleedings, and seizures during follow-up were recorded. Patients who survived were invited for a follow-up examination including physical check-up, general screening of cognition, and an inventory of subjective health perception. Thirteen children died directly as a result of the haemorrhage; nine experienced a recurrent bleeding, which was fatal in three; six children developed epileptic seizures. At follow-up 36 of 56 patients were still alive. Mean follow-up time was 10.3 years (range 1.3 to 19.9 years) and mean age was 18.6 years (range 1.8 to 34.1 years). There was no patient lost to follow-up. Five patients declined to visit the hospital. In 15 out of 31 patients who could be examined, no physical impairment was observed, 11 had a hemiparesis of varying severity, and three had symptoms of cerebellar ataxia. One child had persisting tetraparesis and one persisting paraparesis. Signs of cognitive deficits were found in 15 patients. Of the children who survive haemorrhagic stroke, the physical and functional prognosis is relatively good, as almost all children were independent at follow-up. However, only a quarter of the surviving children had no physical or cognitive deficit after a mean follow-up period of 10 years. The majority had low self-esteem as well as emotional, behavioural, and health problems.

Reference intervals for human placental lactogen (hPL) and dU-estrogens (dU-E) in uncomplicated twin pregnancies are found to be higher than singleton pregnancies and considerably wider. Significantly more monozygotic than dizygotic pregnancies, and significantly more monoplacental than diplacental pregnancies showed hPL values below the median on the normal range curve. The same was not found for dU-E. Significantly more growth-retarded fetuses were found in monoplacental than diplacental pregnancies. The benefit of measuring the two parameters in order to identify the intrauterine growth retarded fetuses were evaluated in terms of sensitivity and specificity. Both parameters were found less suitable for the purpose.

A total of 146 twin pregnancies were studied to evaluate the importance of bed rest. A significantly reduced frequency of preterm delivery was found after bed rest in hospital as compared to bed rest at home or no bed rest at all. An increase in gestational age and in birth weight was seen after bed rest. No effect was found on the intrauterine increase of fetal weight per time. Early routine ultrasound is recommended, so that effective bed rest may be instituted in due time.