Stroke outcome in clinical trial patients deriving from different countries

<p><b>Background and Purpose:</b> Stroke incidence and outcome vary widely within and across geographical locations. We examined whether differences in index stroke severity, stroke risk factors, mortality, and stroke outcome across geographical locations remain after adjusting for case mix.</p> <p><b>Methods:</b> We analyzed 3284 patients from the Virtual International Stroke Trials Archive (VISTA). We used logistic regression to examine the incidence of mild index stroke, functional, and neurological outcomes after accounting for age, medical history, year of trial recruitment, and initial stroke severity in the functional and neurological outcome analyses. We examined mortality between geographical regions using a Cox proportional hazards model, accounting for age, initial stroke severity, medical history, and year of trial recruitment.</p> <p><b>Results</b> Patients enrolled in the USA and Canada had the most severe index strokes. Those recruited in Austria and Switzerland had the best functional and neurological outcomes at 90 days (P<0.05), whereas those enrolled in Germany had the worst functional outcome at 90 days (P=0.013). Patients enrolled in Austria, Switzerland, Belgium, Netherlands, Finland, Germany, Greece, Israel, Spain, and Portugal had a significantly better survival rate when compared with those enrolled in USA and Canada. Patients enrolled in trials after 1998 had more severe index strokes, with no significant difference in outcome compared with those enrolled before 1998.</p> <p><b>Conclusion:</b> We identified regional variations in index stroke severity, outcome, and mortality for patients enrolled in ischemic stroke clinical trials over the past 13 years that were not fully explained by case mix. Index stroke severity was greater in patients enrolled after 1998, with no significant improvement in outcomes compared to those enrolled before 1998.</p&gt

Shoshonites in southern Tibet record Late Jurassic rifting of a Tethyan intraoceanic island arc

Detailed field mapping combined with a petrologic and geochemical investigation of the Zedong terrane within the Yarlung Tsangpo suture zone provides insights to the evolution of now mostly subducted portions of Tethys during the Late Jurassic. The terrane is dominated by volcanic rocks of shoshonitic affinity, which were erupted in a submarine oceanic island arc setting. The volcanic island arc was built on a basement of oceanic crust, and the shoshonites locally overlie a thin section of pillowed island arc tholeiites and red ribbon-bedded radiolarian cherts. Geochemistry of the shoshonites suggests that their development occurred in a setting analogous to that of Late Miocene to Early Pliocene Fiji and was associated with an arc rifting. We speculate that this event may have been a far-field response to developments associated with Gondwana breakup

Charged bottomonium-like structures Zb(10610)Z_b(10610) and Zb(10650)Z_b(10650)

The observation of two charged bottomonium-like structures $Z_b(10610)$ and $Z_b(10650)$ has stimulated extensive studies of the properties of $Z_b(10610)$ and $Z_b(10650)$. In this talk, we briefly introduce the research status of $Z_b(10610)$ and $Z_b(10650)$ combined with our theoretical progress.Comment: 6 pages, 1 table, 5 figures. Plenary talk given at the international conference The Fifth Asia-Pacific Conference on Few-Body Systems in Physics 2011 (APFB2011), Seoul, Republic of Korea, 22-26 August 201

Gazeau-Klauder type coherent states for hypergeometric type operators

The hypergeometric type operators are shape invariant, and a factorization into a product of first order differential operators can be explicitly described in the general case. Some additional shape invariant operators depending on several parameters are defined in a natural way by starting from this general factorization. The mathematical properties of the eigenfunctions and eigenvalues of the operators thus obtained depend on the values of the involved parameters. We study the parameter dependence of orthogonality, square integrability and of the monotony of eigenvalue sequence. The obtained results allow us to define certain systems of Gazeau-Klauder coherent states and to describe some of their properties. Our systematic study recovers a number of well-known results in a natural unified way and also leads to new findings.Comment: An error occurring in Theorem 12 and Theorem 13 has been correcte

Cholinergic pruritus responding to Omalizumab

Cholinergic pruritus is a rare condition characterised by generalised itch provoked by sweating without an associated rash. It is exacerbated by heat, exercise, emotion or activities of daily living.(1) The pruritus can be severe and have a considerable impact on the patient's life. A 60 year old gentleman presented to our clinic in 2012 with a 9‐month history of severe pruritus and a burning sensation that was induced by exercise and heat and relieved by cooling. The symptoms were not associated with a skin rash. His Dermatology Life Quality Index (DLQI) score of 23/30 indicated an extremely large effect on his quality of life

Sampling Theorem and Discrete Fourier Transform on the Riemann Sphere

Using coherent-state techniques, we prove a sampling theorem for Majorana's (holomorphic) functions on the Riemann sphere and we provide an exact reconstruction formula as a convolution product of $N$ samples and a given reconstruction kernel (a sinc-type function). We also discuss the effect of over- and under-sampling. Sample points are roots of unity, a fact which allows explicit inversion formulas for resolution and overlapping kernel operators through the theory of Circulant Matrices and Rectangular Fourier Matrices. The case of band-limited functions on the Riemann sphere, with spins up to $J$, is also considered. The connection with the standard Euler angle picture, in terms of spherical harmonics, is established through a discrete Bargmann transform.Comment: 26 latex pages. Final version published in J. Fourier Anal. App

Clinically significant chronic liver disease in people with type 2 diabetes: the Edinburgh Type 2 Diabetes Study

Background: Type 2 diabetes is an independent risk factor for chronic liver disease, however disease burden estimates and knowledge of prognostic indicators are lacking in community populations. Aims: To describe the prevalence and incidence of clinically significant chronic liver disease amongst community-based older people with Type 2 diabetes and to determine risk factors which might assist in discriminating patients with unknown prevalent or incident disease. Design: Prospective cohort study. Methods: Nine hundred and thirty-nine participants in the Edinburgh Type 2 Diabetes Study underwent investigation including liver ultrasound and non-invasive measures of non-alcoholic steatohepatitis (NASH), hepatic fibrosis and systemic inflammation. Over 6-years, cases of cirrhosis and hepatocellular carcinoma were collated from multiple sources. Results: Eight patients had known prevalent disease with 13 further unknown cases identified (prevalence 2.2%) and 15 incident cases (IR 2.9/1000 person-years). Higher levels of systemic inflammation, NASH and hepatic fibrosis markers were associated with both unknown prevalent and incident clinically significant chronic liver disease (all P < 0.001). Conclusions: Our study investigations increased the known prevalence of clinically significant chronic liver disease by over 150%, confirming the suspicion of a large burden of undiagnosed disease. The disease incidence rate was lower than anticipated but still much higher than the general population rate. The ability to identify patients both with and at risk of developing clinically significant chronic liver disease allows for early intervention and clinical monitoring strategies. Ongoing work, with longer follow-up, including analysis of rates of liver function decline, will be used to define optimal risk prediction tools

The Virtual International Stroke Trials Archive

BACKGROUND AND PURPOSE: Stroke has global importance and it causes an increasing amount of human suffering and economic burden, but its management is far from optimal. The unsuccessful outcome of several research programs highlights the need for reliable data on which to plan future clinical trials. The Virtual International Stroke Trials Archive aims to aid the planning of clinical trials by collating and providing access to a rich resource of patient data to perform exploratory analyses. METHODS: Data were contributed by the principal investigators of numerous trials from the past 16 years. These data have been centrally collated and are available for anonymized analysis and hypothesis testing. RESULTS: Currently, the Virtual International Stroke Trials Archive contains 21 trials. There are data on \u3e15,000 patients with both ischemic and hemorrhagic stroke. Ages range between 18 and 103 years, with a mean age of 69+/-12 years. Outcome measures include the Barthel Index, Scandinavian Stroke Scale, National Institutes of Health Stroke Scale, Orgogozo Scale, and modified Rankin Scale. Medical history and onset-to-treatment time are readily available, and computed tomography lesion data are available for selected trials. CONCLUSIONS: This resource has the potential to influence clinical trial design and implementation through data analyses that inform planning

Squark-, Slepton- and Neutralino-Chargino coannihilation effects in the low-energy effective MSSM

Within the low-energy effective Minimal Supersymmetric extension of the Standard Model (effMSSM) we calculate the neutralino relic density taking into account slepton-neutralino, squark-neutralino and neutralino/chargino- neutralino coannihilation channels. By including squark (stop and sbottom) coannihilation channels we extend our comparative study to all allowed coannihilations and obtain the general result that all of them give sizable contributions to the reduction of the neutralino relic density. Due to these coannihilation processes some models (mostly with large neutralino masses) enter into the cosmologically interesting region for relic density, but other models leave this region. Nevertheless, in general, the predictions for direct and indirect dark matter detection rates are not strongly affected by these coannihilation channels in the effMSSM.Comment: 14 pages, 10 figures, corrected and to be published in Phys. Rev.