622 research outputs found
Diagnosis of vertebral fractures in children: is a simplified algorithm-based qualitative technique reliable?
Background Identification of osteoporotic vertebral fractures
allows treatment opportunity reducing future risk. There is no
agreed standardised method for diagnosing paediatric vertebral
fractures.
Objective To evaluate the precision of a modified adult
algorithm-based qualitative (ABQ) technique, applicable to
children with primary or secondary osteoporosis.
Materials and methods Three radiologists independently
assessed lateral spine radiographs of 50 children with
suspected reduction in bone mineral density using a modified
ABQ scoring system and following simplification to include
only clinically relevant parameters, a simplified ABQ score. A
final consensus of all observers using simplified ABQ was
performed as a reference standard for fracture characterisation.
Kappa was calculated for interobserver agreement of the
components of both scoring systems and intraobserver agreement
of simplified ABQ based on a second read of 29 randomly
selected images.
Results Interobserver Kappa for modified ABQ scoring for
fracture detection, severity and shape ranged from 0.34 to
0.49 Kappa for abnormal endplate and position assessment
was 0.27 to 0.38. Inter- and intraobserver Kappa for simplified
ABQ scoring for fracture detection and grade ranged from
0.37 to 0.46 and 0.45 to 0.56, respectively. Inter- and
intraobserver Kappa for affected endplate ranged from 0.31
to 0.41 and 0.45 to 0.51, respectively. Subjectively, observers’
felt simplified ABQ was easier and less time-consuming.
Conclusion Observer reliability of modified and simplified
ABQ was similar, with slight to moderate agreement for fracture
detection and grade/severity. Due to subjective preference
for simplified ABQ, we suggest its use as a semi-objective
measure of diagnosing paediatric vertebral fracture
Visceral Adiposity and the Risk of Metabolic Syndrome Across Body Mass Index The MESA Study
AbstractObjectivesThis study sought to evaluate differential effects of visceral fat (VF) and subcutaneous fat and their effects on metabolic syndrome (MetS) risk across body mass index (BMI) categories.BackgroundThe regional distribution of adipose tissue is an emerging risk factor for cardiometabolic disease, although serial changes in fat distribution have not been extensively investigated. VF and its alterations over time may be a better marker for risk than BMI in normal weight and overweight or obese individuals.MethodsWe studied 1,511 individuals in the MESA (Multi-Ethnic Study of Atherosclerosis) with adiposity assessment by computed tomography (CT). A total of 253 participants without MetS at initial scan underwent repeat CT (median interval 3.3 years). We used discrete Cox regression with net reclassification to investigate whether baseline and changes in VF area are associated with MetS.ResultsHigher VF was associated with cardiometabolic risk and coronary artery calcification, regardless of BMI. After adjustment, VF was more strongly associated with incident MetS than subcutaneous fat regardless of weight, with a 28% greater MetS hazard per 100 cm2/m VF area and significant net reclassification (net reclassification index: 0.44, 95% confidence interval [CI]: 0.29 to 0.60) over clinical risk. In individuals with serial imaging, initial VF (hazard ratio: 1.24 per 100 cm2/m, 95% CI: 1.08 to 1.44 per 100 cm2/m, p = 0.003) and change in VF (hazard ratio: 1.05 per 5% change, 95% CI: 1.01 to 1.08 per 5% change, p = 0.02) were associated with MetS after adjustment. Changes in subcutaneous fat were not associated with incident MetS after adjustment for clinical risk and VF area.ConclusionsVF is modestly associated with BMI. However, across BMI, a single measure of and longitudinal change in VF predict MetS, even accounting for weight changes. Visceral adiposity is essential to assessing cardiometabolic risk, regardless of age, race, or BMI, and may serve as a marker and target of therapy in cardiometabolic disease
Theoretical study of lepton events in the atmospheric neutrino experiments at SuperK
Super-Kamiokande has reported the results for the lepton events in the
atmospheric neutrino experiment. These results have been presented for a 22.5kT
water fiducial mass on an exposure of 1489 days, and the events are divided
into sub-GeV, multi-GeV and PC events. We present a study of nuclear medium
effects in the sub-GeV energy region of atmospheric neutrino events for the
quasielastic scattering, incoherent and coherent pion production processes, as
they give the most dominant contribution to the lepton events in this energy
region. We have used the atmospheric neutrino flux given by Honda et al. These
calculations have been done in the local density approximation. We take into
account the effect of Pauli blocking, Fermi motion, Coulomb effect,
renormalization of weak transition strengths in the nuclear medium in the case
of the quasielastic reactions. The inelastic reactions leading to production of
leptons along with pions is calculated in a - dominance model by
taking into account the renormalization of properties in the nuclear
medium and the final state interaction effects of the outgoing pions with the
residual nucleus. We present the results for the lepton events obtained in our
model with and without nuclear medium effects, and compare them with the Monte
Carlo predictions used in the simulation and the experimentally observed events
reported by the Super-Kamiokande collaboration.Comment: 23 pages, 13 figure
The position of graptolites within Lower Palaeozoic planktic ecosystems.
An integrated approach has been used to assess the palaeoecology of graptolites both as a discrete group and also as a part of the biota present within Ordovician and Silurian planktic realms. Study of the functional morphology of graptolites and comparisons with recent ecological analogues demonstrates that graptolites most probably filled a variety of niches as primary consumers, with modes of life related to the colony morphotype. Graptolite coloniality was extremely ordered, lacking any close morphological analogues in Recent faunas. To obtain maximum functional efficiency, graptolites would have needed varying degrees of coordinated automobility. A change in lifestyle related to ontogenetic changes was prevalent within many graptolite groups. Differing lifestyle was reflected by differing reproductive strategies, with synrhabdosomes most likely being a method for rapid asexual reproduction. Direct evidence in the form of graptolithophage 'coprolitic' bodies, as well as indirect evidence in the form of probable defensive adaptations, indicate that graptolites comprised a food item for a variety of predators. Graptolites were also hosts to a variety of parasitic organisms and provided an important nutrient source for scavenging organisms
The differential effects of concurrent planning practice elements on reunification and adoption
Objective: The child welfare practice of concurrent planning attempts to shorten children\u27s stays in foster care. There is very little quantitative research on concurrent planning\u27s effects. This study examines the influence of concurrent planning practice elements (reunification prognosis, concurrent plan, full disclosure, and discussion of voluntary relinquishment) on reunification and adoption. Method: Using a sample of 885 children, an observational design, and statistical controls, children who received concurrent planning elements were compared to those who did not. Results: Findings show discussion of voluntary relinquishment to be positively associated with adoption and full disclosure to be negatively associated with reunification. Conclusions: Concurrent planning\u27s benefits may require more intensive services to be fully realized. Care should be taken to ensure activities achieve their intended effects
Anisotropy studies around the galactic centre at EeV energies with the Auger Observatory
Data from the Pierre Auger Observatory are analyzed to search for
anisotropies near the direction of the Galactic Centre at EeV energies. The
exposure of the surface array in this part of the sky is already significantly
larger than that of the fore-runner experiments. Our results do not support
previous findings of localized excesses in the AGASA and SUGAR data. We set an
upper bound on a point-like flux of cosmic rays arriving from the Galactic
Centre which excludes several scenarios predicting sources of EeV neutrons from
Sagittarius . Also the events detected simultaneously by the surface and
fluorescence detectors (the `hybrid' data set), which have better pointing
accuracy but are less numerous than those of the surface array alone, do not
show any significant localized excess from this direction.Comment: Matches published versio
Atmospheric effects on extensive air showers observed with the Surface Detector of the Pierre Auger Observatory
Atmospheric parameters, such as pressure (P), temperature (T) and density,
affect the development of extensive air showers initiated by energetic cosmic
rays. We have studied the impact of atmospheric variations on extensive air
showers by means of the surface detector of the Pierre Auger Observatory. The
rate of events shows a ~10% seasonal modulation and ~2% diurnal one. We find
that the observed behaviour is explained by a model including the effects
associated with the variations of pressure and density. The former affects the
longitudinal development of air showers while the latter influences the Moliere
radius and hence the lateral distribution of the shower particles. The model is
validated with full simulations of extensive air showers using atmospheric
profiles measured at the site of the Pierre Auger Observatory.Comment: 24 pages, 9 figures, accepted for publication in Astroparticle
Physic
Update on the correlation of the highest energy cosmic rays with nearby extragalactic matter
Data collected by the Pierre Auger Observatory through 31 August 2007 showed
evidence for anisotropy in the arrival directions of cosmic rays above the
Greisen-Zatsepin-Kuz'min energy threshold, \nobreak{eV}. The
anisotropy was measured by the fraction of arrival directions that are less
than from the position of an active galactic nucleus within 75 Mpc
(using the V\'eron-Cetty and V\'eron catalog). An updated
measurement of this fraction is reported here using the arrival directions of
cosmic rays recorded above the same energy threshold through 31 December 2009.
The number of arrival directions has increased from 27 to 69, allowing a more
precise measurement. The correlating fraction is , compared
with expected for isotropic cosmic rays. This is down from the early
estimate of . The enlarged set of arrival directions is
examined also in relation to other populations of nearby extragalactic objects:
galaxies in the 2 Microns All Sky Survey and active galactic nuclei detected in
hard X-rays by the Swift Burst Alert Telescope. A celestial region around the
position of the radiogalaxy Cen A has the largest excess of arrival directions
relative to isotropic expectations. The 2-point autocorrelation function is
shown for the enlarged set of arrival directions and compared to the isotropic
expectation.Comment: Accepted for publication in Astroparticle Physics on 31 August 201
The Fluorescence Detector of the Pierre Auger Observatory
The Pierre Auger Observatory is a hybrid detector for ultra-high energy
cosmic rays. It combines a surface array to measure secondary particles at
ground level together with a fluorescence detector to measure the development
of air showers in the atmosphere above the array. The fluorescence detector
comprises 24 large telescopes specialized for measuring the nitrogen
fluorescence caused by charged particles of cosmic ray air showers. In this
paper we describe the components of the fluorescence detector including its
optical system, the design of the camera, the electronics, and the systems for
relative and absolute calibration. We also discuss the operation and the
monitoring of the detector. Finally, we evaluate the detector performance and
precision of shower reconstructions.Comment: 53 pages. Submitted to Nuclear Instruments and Methods in Physics
Research Section
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