6,586 research outputs found
Associations of diet quality with health-related quality of life in older Australian men and women
This study investigated associations between diet quality measures and quality of life two years later. Adults 55-65 years participating in the Wellbeing, Eating and Exercise for a Long Life (WELL) study in Victoria, Australia (n = 1150 men and n = 1307 women) completed a postal survey including a 111-item food frequency questionnaire in 2010. Diet quality in 2010 was assessed via the dietary guideline index (DGI), recommended food score (RFS) and Mediterranean diet score (MDS). The RAND 36-item survey assessed health-related quality of life in 2012. Associations were assessed using logistic regression adjusted for covariates. In men, DGI and RFS were associated with better reported energy (OR = 1.79, CI: 1.25, 2.55 and OR = 1.56, CI: 1.11, 2.19 respectively), and DGI was additionally associated with better general health (OR = 1.54, 95% CI: 1.08, 2.20), and overall mental component summary scale (OR = 1.51, CI: 1.07, 2.15) in the fully adjusted model. In women, associations between two indices of diet quality (DGI, RFS) physical function (OR = 1.66, CI: 1.19, 2.31 and OR = 1.70, CI: 1.21, 2.37 respectively) and general health (OR = 1.83, CI: 1.32, 2.54 and OR = 1.54, CI: 1.11, 2.14 respectively) were observed. DGI was also associated with overall physical component summary score (OR = 1.56, CI: 1.12, 2.17). Additional associations between emotional wellbeing and DGI (OR = 1.40, CI: 1.01, 1.93) and RFS (OR = 1.44, CI: 1.04, 1.99), and MDS and energy (OR = 1.53, CI: 1.11, 2.10) were observed in the fully adjusted model, in women only. Older adults with better quality diets report better health-related quality of life, with additional associations with emotional wellbeing observed in women
History of the Innovation of Damage Control for Management of Trauma Patients: 1902-2016
Objective: To review the history of the innovation of damage control (DC) for management of trauma patients. Background: DC is an important development in trauma care that provides a valuable case study in surgical innovation. Methods: We searched bibliographic databases (1950-2015), conference abstracts (2009-2013), Web sites, textbooks, and bibliographies for articles relating to trauma DC. The innovation of DC was then classified according to the Innovation, Development, Exploration, Assessment, and Long-term study model of surgical innovation. Results: The innovation\u27\u27 of DC originated from the use of therapeutic liver packing, a practice that had previously been abandoned after World War II because of adverse events. It then developed\u27\u27 into abbreviated laparotomy using rapid conservative operative techniques.\u27\u27 Subsequent exploration\u27\u27 resulted in the application of DC to increasingly complex abdominal injuries and thoracic, peripheral vascular, and orthopedic injuries. Increasing use of DC laparotomy was followed by growing reports of postinjury abdominal compartment syndrome and prophylactic use of the open abdomen to prevent intra-abdominal hypertension after DC laparotomy. By the year 2000, DC surgery had been widely adopted and was recommended for use in surgical journals, textbooks, and teaching courses ( assessment\u27\u27 stage of innovation). Long-term study\u27\u27 of DC is raising questions about whether the procedure should be used more selectively in the context of improving resuscitation practices. Conclusions: The history of the innovation of DC illustrates how a previously abandoned surgical technique was adapted and readopted in response to an increased understanding of trauma patient physiology and changing injury patterns and trauma resuscitation practices
Robust Machine Learning Applied to Astronomical Datasets I: Star-Galaxy Classification of the SDSS DR3 Using Decision Trees
We provide classifications for all 143 million non-repeat photometric objects
in the Third Data Release of the Sloan Digital Sky Survey (SDSS) using decision
trees trained on 477,068 objects with SDSS spectroscopic data. We demonstrate
that these star/galaxy classifications are expected to be reliable for
approximately 22 million objects with r < ~20. The general machine learning
environment Data-to-Knowledge and supercomputing resources enabled extensive
investigation of the decision tree parameter space. This work presents the
first public release of objects classified in this way for an entire SDSS data
release. The objects are classified as either galaxy, star or nsng (neither
star nor galaxy), with an associated probability for each class. To demonstrate
how to effectively make use of these classifications, we perform several
important tests. First, we detail selection criteria within the probability
space defined by the three classes to extract samples of stars and galaxies to
a given completeness and efficiency. Second, we investigate the efficacy of the
classifications and the effect of extrapolating from the spectroscopic regime
by performing blind tests on objects in the SDSS, 2dF Galaxy Redshift and 2dF
QSO Redshift (2QZ) surveys. Given the photometric limits of our spectroscopic
training data, we effectively begin to extrapolate past our star-galaxy
training set at r ~ 18. By comparing the number counts of our training sample
with the classified sources, however, we find that our efficiencies appear to
remain robust to r ~ 20. As a result, we expect our classifications to be
accurate for 900,000 galaxies and 6.7 million stars, and remain robust via
extrapolation for a total of 8.0 million galaxies and 13.9 million stars.
[Abridged]Comment: 27 pages, 12 figures, to be published in ApJ, uses emulateapj.cl
Postexposure Treatment and Animal Rabies, Ontario, 1958-2000
This paper investigates the relationship between animal rabies and postexposure treatment (PET) in Ontario by examining the introduction of human diploid cell vaccine (HDCV) in 1980 and the initiation of an oral rabies vaccination program for wildlife in 1989. Introducing HDCV led to an immediate doubling of treatments. Both animal rabies and human treatments declined rapidly after the vaccination program was introduced, but human treatments have leveled off at approximately 1,000 per year
Developing and enhancing biodiversity monitoring programmes: a collaborative assessment of priorities
1.Biodiversity is changing at unprecedented rates, and it is increasingly important that these changes are quantified through monitoring programmes. Previous recommendations for developing or enhancing these programmes focus either on the end goals, that is the intended use of the data, or on how these goals are achieved, for example through volunteer involvement in citizen science, but not both. These recommendations are rarely prioritized.
2.We used a collaborative approach, involving 52 experts in biodiversity monitoring in the UK, to develop a list of attributes of relevance to any biodiversity monitoring programme and to order these attributes by their priority. We also ranked the attributes according to their importance in monitoring biodiversity in the UK. Experts involved included data users, funders, programme organizers and participants in data collection. They covered expertise in a wide range of taxa.
3.We developed a final list of 25 attributes of biodiversity monitoring schemes, ordered from the most elemental (those essential for monitoring schemes; e.g. articulate the objectives and gain sufficient participants) to the most aspirational (e.g. electronic data capture in the field, reporting change annually). This ordered list is a practical framework which can be used to support the development of monitoring programmes.
4.People's ranking of attributes revealed a difference between those who considered attributes with benefits to end users to be most important (e.g. people from governmental organizations) and those who considered attributes with greatest benefit to participants to be most important (e.g. people involved with volunteer biological recording schemes). This reveals a distinction between focussing on aims and the pragmatism in achieving those aims.
5.Synthesis and applications. The ordered list of attributes developed in this study will assist in prioritizing resources to develop biodiversity monitoring programmes (including citizen science). The potential conflict between end users of data and participants in data collection that we discovered should be addressed by involving the diversity of stakeholders at all stages of programme development. This will maximize the chance of successfully achieving the goals of biodiversity monitoring programmes
Symmetries and Asymmetries of B -> K* mu+ mu- Decays in the Standard Model and Beyond
The rare decay B -> K* (-> K pi) mu+ mu- is regarded as one of the crucial
channels for B physics as the polarization of the K* allows a precise angular
reconstruction resulting in many observables that offer new important tests of
the Standard Model and its extensions. These angular observables can be
expressed in terms of CP-conserving and CP-violating quantities which we study
in terms of the full form factors calculated from QCD sum rules on the
light-cone, including QCD factorization corrections. We investigate all
observables in the context of the Standard Model and various New Physics
models, in particular the Littlest Higgs model with T-parity and various MSSM
scenarios, identifying those observables with small to moderate dependence on
hadronic quantities and large impact of New Physics. One important result of
our studies is that new CP-violating phases will produce clean signals in
CP-violating asymmetries. We also identify a number of correlations between
various observables which will allow a clear distinction between different New
Physics scenarios.Comment: 56 pages, 18 figures, 14 tables. v5: Missing factor in eqs. (3.31-32)
and fig. 6 corrected. Minor misprints in eq. (2.10) and table A corrected.
Conclusions unchange
Exploring the multiple-hit hypothesis of preterm white matter damage using diffusion MRI.
Background: Preterm infants are at high risk of diffuse white matter injury and adverse neurodevelopmental outcome. The multiple hit hypothesis suggests that the risk of white matter injury increases with cumulative exposure to multiple perinatal risk factors. Our aim was to test this hypothesis in a large cohort of preterm infants using diffusion weighted magnetic resonance imaging (dMRI). Methods: We studied 491 infants (52% male) without focal destructive brain lesions born at <Â 34Â weeks, who underwent structural and dMRI at a specialist Neonatal Imaging Centre. The median (range) gestational age (GA) at birth was 30+Â 1 (23+Â 2-33+Â 5) weeks and median postmenstrual age at scan was 42+Â 1 (38-45) weeks. dMRI data were analyzed using tract based spatial statistics and the relationship between dMRI measures in white matter and individual perinatal risk factors was assessed. We tested the hypothesis that increased exposure to perinatal risk factors was associated with lower fractional anisotropy (FA), and higher radial, axial and mean diffusivity (RD, AD, MD) in white matter. Neurodevelopmental performance was investigated using the Bayley Scales of Infant and Toddler Development, Third Edition (BSITD-III) in a subset of 381 infants at 20Â months corrected age. We tested the hypothesis that lower FA and higher RD, AD and MD in white matter were associated with poorer neurodevelopmental performance. Results: Identified risk factors for diffuse white matter injury were lower GA at birth, fetal growth restriction, increased number of days requiring ventilation and parenteral nutrition, necrotizing enterocolitis and male sex. Clinical chorioamnionitis and patent ductus arteriosus were not associated with white matter injury. Multivariate analysis demonstrated that fetal growth restriction, increased number of days requiring ventilation and parenteral nutrition were independently associated with lower FA values. Exposure to cumulative risk factors was associated with reduced white matter FA and FA values at term equivalent age were associated with subsequent neurodevelopmental performance. Conclusion: This study suggests multiple perinatal risk factors have an independent association with diffuse white matter injury at term equivalent age and exposure to multiple perinatal risk factors exacerbates dMRI defined, clinically significant white matter injury. Our findings support the multiple hit hypothesis for preterm white matter injury
Obtaining CKM Phase Information from B Penguin Decays
We discuss a method for extracting CP phases from pairs of B decays which are
related by flavor SU(3). One decay (B0 -> M1 M2) receives a significant bbar ->
dbar penguin contribution. The second (B' -> M1' M2') has a significant bbar ->
sbar penguin contribution, but is dominated by a single amplitude. CP phase
information is obtained using the fact that the B' -> M1' M2' amplitude is
related by SU(3) to a piece of the B0 -> M1 M2 amplitude. The leading-order
SU(3)-breaking effect (~25%) responsible for the main theoretical error can be
removed. For some decay pairs, it can be written in terms of known decay
constants. In other cases, it involves a ratio of form factors. However, this
form-factor ratio can either be measured experimentally, or eliminated by
considering a double ratio of amplitudes. In all cases, one is left only with a
second-order effect, ~5%. We find twelve pairs of B decays to which this method
can be applied. Depending on the decay pair, we estimate the total theoretical
error in relating the B' -> M1' M2' and B0 -> M1 M2 amplitudes to be between 5%
and 15%. The most promising decay pairs are Bd -> pi+ pi- and Bu+ -> K0 pi+,
and Bd -> D+ D- and Bd -> Ds+ D- or Bu+ -> Ds+ D0bar.Comment: 38 pages, JHEP format, no figures. Comments added to text regarding
most promising decay pairs; references added; conclusions unchange
Detection of specific HPV subtypes responsible for the pathogenesis of condylomata acuminata.
BACKGROUND: The low-risk human papillomavirus types 6 and 11 are responsible for approximately 90% of anogenital wart cases, with approximately 190,000 new and recurrent cases reported in the UK in 2010. The UK has recently selected the quadrivalent HPV vaccine, which conveys protection against both HPV6 and HPV 11, as part of its immunisation programme for 2012 and it is expected that this will reduce disease burden in the UK. The aims of the study were to evaluate current strategies used for the monitoring of HPV infection in genital warts and to assess the suitability of laser-capture microdissection (LCM) as a technique to improve the understanding of the natural history of HPV types associated with genital wart lesions. METHODS: DNA and RNA were extracted from whole wart, surface swabs and LCM sections from 23 patients. HPV types present were determined using the Linear Array HPV Genotyping Test (Roche), with HPV DNA viral load and mRNA expression investigated using qPCR and qRT-PCR, respectively. RESULTS: Results indicated that swabbing the surface of warts does not accurately reflect potential causative HPV types present within a wart lesion, multiple HPV types being present on the surface of the wart that are absent in the lower layers of tissue isolated by LCM. Although it was shown that HPV DNA viral load does not directly correlate with HPV mRNA load, the presence of both DNA and mRNA from a single HPV type suggested a causative role in lesion development in 8/12 (66.6%) of patients analysed, with dual infections seen in 4/12 (33.3%) cases. HPV 6 and HPV 11 were present in more than 90% of the lesions examined. CONCLUSIONS: Surface swabbing of warts does not necessarily reflect the causative HPV types. HPV type specific DNA and mRNA loads do not correlate. HPV 6 and 11 were likely to be causally involved in over 90% of the lesions. Dual infections were also found, and further studies are required to determine the biological and clinical nature of dual/multiple infections and to establish the relationship of multiple HPV types within a single lesion.RIGHTS : This article is licensed under the BioMed Central licence at http://www.biomedcentral.com/about/license which is similar to the 'Creative Commons Attribution Licence'. In brief you may : copy, distribute, and display the work; make derivative works; or make commercial use of the work - under the following conditions: the original author must be given credit; for any reuse or distribution, it must be made clear to others what the license terms of this work are
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