955 research outputs found
Solving modal equations of motion with initial conditions using MSC/NASTRAN DMAP. Part 1: Implementing exact mode superposition
Within the MSC/NASTRAN DMAP (Direct Matrix Abstraction Program) module TRD1, solving physical (coupled) or modal (uncoupled) transient equations of motion is performed using the Newmark-Beta or mode superposition algorithms, respectively. For equations of motion with initial conditions, only the Newmark-Beta integration routine has been available in MSC/NASTRAN solution sequences for solving physical systems and in custom DMAP sequences or alters for solving modal systems. In some cases, one difficulty with using the Newmark-Beta method is that the process of selecting suitable integration time steps for obtaining acceptable results is lengthy. In addition, when very small step sizes are required, a large amount of time can be spent integrating the equations of motion. For certain aerospace applications, a significant time savings can be realized when the equations of motion are solved using an exact integration routine instead of the Newmark-Beta numerical algorithm. In order to solve modal equations of motion with initial conditions and take advantage of efficiencies gained when using uncoupled solution algorithms (like that within TRD1), an exact mode superposition method using MSC/NASTRAN DMAP has been developed and successfully implemented as an enhancement to an existing coupled loads methodology at the NASA Lewis Research Center
Informed consent from patients participating in medical education: a survey from a university hospital in Jamaica
Limitations of fasting indices in the measurement of insulin sensitivity in Afro-Caribbean adults
In young Afro-Caribbean adults, HOMA-IR compared poorly with other measures of insulin sensitivity. It remains important to determine whether similar findings occur in a more insulin resistant population. However, HOMA-IR correlated with clinical measures of insulin sensitivity (i.e. adiposity), so it may still be useful in epidemiological studies
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In vivo nucleus basalis of Meynert degeneration in mild cognitive impairment with Lewy bodies.
OBJECTIVES: To investigate in vivo degeneration of the cholinergic system in mild cognitive impairment with Lewy bodies (MCI-LB), we studied nucleus basalis of Meynert (NBM) volumes from structural MR images and its relation to EEG slowing and cognitive impairment. METHODS: We studied the NBM using structural MR images in 37 patients with MCI-LB, 34 patients with MCI with Alzheimer's disease (MCI-AD), and 31 healthy control participants. We also tested correlations between NBM volumes and measures of overall cognition and measures of EEG slowing in the MCI groups. RESULTS: Overall NBM volume was reduced in MCI-LB compared to controls with no significant difference between MCI-AD and controls or between the two MCI groups. The voxel-wise analysis revealed bilateral clusters of reduced NBM volume in MCI-LB compared to controls and smaller clusters in MCI-AD compared to controls. There was a significant association between overall NBM volume and measures of overall cognition in MCI-LB, but not in MCI-AD. In both MCI groups, reduced NBM volume was correlated with more severe EEG slowing. CONCLUSIONS: This study provides in vivo evidence that early cholinergic degeneration in DLB occurs at the MCI stage and is related to the severity of cognitive impairment. Furthermore, the results suggest that early EEG slowing in MCI-LB might be in part cholinergically driven. Importantly, these findings suggest an early cholinergic deficit in MCI-LB that may motivate further testing of the effectiveness of cholinesterase inhibitors in this group
CPT and Lorentz Tests in Hydrogen and Antihydrogen
Signals for CPT and Lorentz violation at the Planck scale may arise in
hydrogen and antihydrogen spectroscopy. We show that certain 1S-2S and
hyperfine transitions can exhibit theoretically detectable effects unsuppressed
by any power of the fine-structure constant.Comment: 4 pages REVTeX, submitted for publicatio
The history of AIDS exceptionalism
In the history of public health, HIV/AIDS is unique; it has widespread and long-lasting demographic, social, economic and political impacts. The global response has been unprecedented. AIDS exceptionalism - the idea that the disease requires a response above and beyond "normal" health interventions - began as a Western response to the originally terrifying and lethal nature of the virus. More recently, AIDS exceptionalism came to refer to the disease-specific global response and the resources dedicated to addressing the epidemic. There has been a backlash against this exceptionalism, with critics claiming that HIV/AIDS receives a disproportionate amount of international aid and health funding
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Microbleeds in dementia with Lewy bodies
Funder: Avid Radiopharmaceuticals; doi: http://dx.doi.org/10.13039/100014392Abstract: Introduction: Microbleeds are associated with the development of dementia in older people and are common in Alzheimer’s disease (AD). Their prevalence and clinical importance in dementia with Lewy bodies (DLB) is unclear. The objective of this study was to compare the rates of microbleeds in DLB with those in AD and healthy older people, and investigate associations between microbleeds and amyloid deposition, vascular risk and disease severity in DLB. Methods: DLB (n = 30), AD (n = 18) and control (n = 20) participants underwent clinical assessment at baseline and 1 year in this longitudinal observational study. 3T MRI (including T2* susceptibility weighted imaging) and florbetapir PET were carried out at baseline. Microbleeds were rated visually and a standardised uptake value ratio (SUVR) was calculated from florbetapir PET scans. Results: 40% of DLB subjects had microbleeds compared with 50% of AD and 15% of controls. Compared to DLB without microbleeds, those with microbleeds had higher systolic BP (156 ± 26 v. 135 ± 19 mmHg; p = 0.03), but did not have greater levels of vascular disease or amyloid deposition (SUVR 1.25 ± 0.24 v. 1.25 ± 0.22; p = 0.33). There was evidence of less severe dementia in DLB participants with microbleeds, but these differences may have been driven by a shorter disease duration in those with microbleeds. Conclusion: The presence of microbleeds in DLB is associated with higher blood pressure, but not with other measures of vascular disease or amyloid deposition. The relationship between microbleeds and clinical presentation remains unclear
Minimum-Uncertainty Angular Wave Packets and Quantized Mean Values
Uncertainty relations between a bounded coordinate operator and a conjugate
momentum operator frequently appear in quantum mechanics. We prove that
physically reasonable minimum-uncertainty solutions to such relations have
quantized expectation values of the conjugate momentum. This implies, for
example, that the mean angular momentum is quantized for any
minimum-uncertainty state obtained from any uncertainty relation involving the
angular-momentum operator and a conjugate coordinate. Experiments specifically
seeking to create minimum-uncertainty states localized in angular coordinates
therefore must produce packets with integer angular momentum.Comment: accepted for publication in Physical Review
Interventions to improve social circumstances of people with mental health conditions: a rapid evidence synthesis
BACKGROUND: Poor social circumstances can induce, exacerbate and prolong symptoms of mental health conditions, while having a mental health condition can also lead to worse social outcomes. Many people with mental health conditions prioritise improvement in social and functional outcomes over reduction in clinical symptoms. Interventions that improve social circumstances in this population should thus be considered a priority for research and policy. METHODS: This rapid evidence synthesis reports on randomised controlled trials of interventions to improve social circumstances across eight social domains (Housing and homelessness; money and basic needs; work and education; social isolation and connectedness; family, intimate and caring relationships; victimisation and exploitation; offending; and rights, inclusion and citizenship) in people with mental health conditions. Economic evaluations were also identified. A comprehensive, stepped search approach of the Cochrane library, MEDLINE, Embase, PsycINFO, Web of Science and Scopus was conducted. RESULTS: One systematic review and 102 randomised controlled trials were included. We did not find RCT evidence for interventions to improve family, intimate and caring relationships and only one or two trials for each of improving money and basic needs, victimisation and exploitation, and rights, inclusion and citizenship. Evidence from successful interventions in improving homelessness (Housing First) and employment (Individual Placement and Support) suggests that high-intensity interventions which focus on the desired social outcome and provide comprehensive multidisciplinary support could influence positive change in social circumstances of people with mental health conditions. Objective social isolation could be improved using a range of approaches such as supported socialisation and social skills training but interventions to reduce offending showed few benefits. Studies with cost and cost-effectiveness components were generally supportive of interventions to improve housing and vocational outcomes. More research is needed to ensure that social circumstances accompanied by high risks of further exacerbation of mental health conditions are adequately addressed. CONCLUSIONS: Although there is a large body of literature examining how to support some aspects of life for people with mental health conditions, more high-quality evidence is required in other social domains. Integration into mental health services of interventions targeting social circumstances could significantly improve a number of social outcomes
CPT and Lorentz Tests in Penning Traps
A theoretical analysis is performed of Penning-trap experiments testing CPT
and Lorentz symmetry through measurements of anomalous magnetic moments and
charge-to-mass ratios. Possible CPT and Lorentz violations arising from
spontaneous symmetry breaking at a fundamental level are treated in the context
of a general extension of the SU(3) x SU(2) x U(1) standard model and its
restriction to quantum electrodynamics. We describe signals that might appear
in principle, introduce suitable figures of merit, and estimate CPT and Lorentz
bounds attainable in present and future Penning-trap experiments. Experiments
measuring anomaly frequencies are found to provide the sharpest tests of CPT
symmetry. Bounds are attainable of approximately in the
electron-positron case and of for a suggested experiment with
protons and antiprotons. Searches for diurnal frequency variations in these
experiments could also limit certain types of Lorentz violation to the level of
in the electron-positron system and others at the level of
in the proton-antiproton system. In contrast, measurements comparing
cyclotron frequencies are sensitive within the present theoretical framework to
different kinds of Lorentz violation that preserve CPT. Constraints could be
obtained on one figure of merit in the electron-positron system at the level of
, on another in the proton-antiproton system at , and on a
third at using comparisons of ions with antiprotons.Comment: 31 pages, published in Physical Review
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