94 research outputs found
The demographic consequences of growing older and bigger in oyster populations
Structured population models, particularly size-or age-structured, have a long history of informing conservation and natural resource management. While size is often easier to measure than age and is the focus of many management strategies, age-structure can have important effects on population dynamics that are not captured in size-only models. However, relatively few studies have included the simultaneous effects of both age-and size-structure. To better understand how population structure, particularly that of age and size, impacts restoration and management decisions, we developed and compared a size-structured integral projection model (IPM) and an age-and size-structured IPM, using a population of Crassostrea gigas oysters in the northeastern Pacific Ocean. We analyzed sensitivity of model results across values of local retention that give populations decreasing in size to populations increasing in size. We found that age-and size-structured models yielded the best fit to the demographic data and provided more reliable results about long-term demography. Elasticity analysis showed that population growth rate was most sensitive to changes in the survival of both large (\u3e175 mm shell length) and small (length) oysters, indicating that a maximum size limit, in addition to a minimum size limit, could be an effective strategy for maintaining a sustainable population. In contrast, the purely size-structured model did not detect the importance of large individuals. Finally, patterns in stable age and stable size distributions differed between populations decreasing in size due to limited local retention and populations increasing in size due to high local retention. These patterns can be used to determine population status and restoration success. The methodology described here provides general insight into the necessity of including both age-and size-structure into modeling frameworks when using population models to inform restoration and management decisions
Irinotecan plus leucovorin-modulated 5-fluorouracil I.V. bolus every other week may be a suitable therapeutic option also for elderly patients with metastatic colorectal carcinoma
2019 ACC/AHA guideline on the primary prevention of cardiovascular disease: Executive summary: A report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines
[Extract] Top 10 Take-Home Messages for the Primary Prevention of Cardiovascular Disease
1. The most important way to prevent atherosclerotic vascular disease, heart failure, and atrial fibrillation is to promote a healthy lifestyle throughout life.
2. A team-based care approach is an effective strategy for the prevention of cardiovascular disease. Clinicians should evaluate the social determinants of health that affect individuals to inform treatment decisions.
3. Adults who are 40 to 75 years of age and are being evaluated for cardiovascular disease prevention should undergo 10-year atherosclerotic cardiovascular disease (ASCVD) risk estimation and have a clinicianâpatient risk discussion before starting on pharmacological therapy, such as antihypertensive therapy, a statin, or aspirin. In addition, assessing for other risk-enhancing factors can help guide decisions about preventive interventions in select individuals, as can coronary artery calcium scanning.
4. All adults should consume a healthy diet that emphasizes the intake of vegetables, fruits, nuts, whole grains, lean vegetable or animal protein, and fish and minimizes the intake of trans fats, red meat and processed red meats, refined carbohydrates, and sweetened beverages. For adults with overweight and obesity, counseling and caloric restriction are recommended for achieving and maintaining weight loss.
5. Adults should engage in at least 150 minutes per week of accumulated moderate-intensity physical activity or 75 minutes per week of vigorous-intensity physical activity.
6. For adults with type 2 diabetes mellitus, lifestyle changes, such as improving dietary habits and achieving exercise recommendations, are crucial. If medication is indicated, metformin is first-line therapy, followed by consideration of a sodium-glucose cotransporter 2 inhibitor or a glucagon-like peptide-1 receptor agonist.
7. All adults should be assessed at every healthcare visit for tobacco use, and those who use tobacco should be assisted and strongly advised to quit.
8. Aspirin should be used infrequently in the routine primary prevention of ASCVD because of lack of net benefit.
9. Statin therapy is first-line treatment for primary prevention of ASCVD in patients with elevated low-density lipoprotein cholesterol levels (â„190 mg/dL), those with diabetes mellitus, who are 40 to 75 years of age, and those determined to be at sufficient ASCVD risk after a clinicianâpatient risk discussion.
10. Nonpharmacological interventions are recommended for all adults with elevated blood pressure or hypertension. For those requiring pharmacological therapy, the target blood pressure should generally be <130/80 mm Hg
Antennas for the detection of radio emission pulses from cosmic-ray induced air showers at the Pierre Auger Observatory
The Pierre Auger Observatory is exploring the potential of the radio detection technique to study extensive air showers induced by ultra-high energy cosmic rays. The Auger Engineering Radio Array (AERA) addresses both technological and scientific aspects of the radio technique. A first phase of AERA has been operating since September 2010 with detector stations observing radio signals at frequencies between 30 and 80 MHz. In this paper we present comparative studies to identify and optimize the antenna design for the final configuration of AERA consisting of 160 individual radio detector stations. The transient nature of the air shower signal requires a detailed description of the antenna sensor. As the ultra-wideband reception of pulses is not widely discussed in antenna literature, we review the relevant antenna characteristics and enhance theoretical considerations towards the impulse response of antennas including polarization effects and multiple signal reflections. On the basis of the vector effective length we study the transient response characteristics of three candidate antennas in the time domain. Observing the variation of the continuous galactic background intensity we rank the antennas with respect to the noise level added to the galactic signal
Validation of clinical acceptability of deep-learning-based automated segmentation of organs-at-risk for head-and-neck radiotherapy treatment planning
IntroductionOrgan-at-risk segmentation for head and neck cancer radiation therapy is a complex and time-consuming process (requiring up to 42 individual structure, and may delay start of treatment or even limit access to function-preserving care. Feasibility of using a deep learning (DL) based autosegmentation model to reduce contouring time without compromising contour accuracy is assessed through a blinded randomized trial of radiation oncologists (ROs) using retrospective, de-identified patient data.MethodsTwo head and neck expert ROs used dedicated time to create gold standard (GS) contours on computed tomography (CT) images. 445 CTs were used to train a custom 3D U-Net DL model covering 42 organs-at-risk, with an additional 20 CTs were held out for the randomized trial. For each held-out patient dataset, one of the eight participant ROs was randomly allocated to review and revise the contours produced by the DL model, while another reviewed contours produced by a medical dosimetry assistant (MDA), both blinded to their origin. Time required for MDAs and ROs to contour was recorded, and the unrevised DL contours, as well as the RO-revised contours by the MDAs and DL model were compared to the GS for that patient.ResultsMean time for initial MDA contouring was 2.3 hours (range 1.6-3.8 hours) and RO-revision took 1.1 hours (range, 0.4-4.4 hours), compared to 0.7 hours (range 0.1-2.0 hours) for the RO-revisions to DL contours. Total time reduced by 76% (95%-Confidence Interval: 65%-88%) and RO-revision time reduced by 35% (95%-CI,-39%-91%). All geometric and dosimetric metrics computed, agreement with GS was equivalent or significantly greater (p<0.05) for RO-revised DL contours compared to the RO-revised MDA contours, including volumetric Dice similarity coefficient (VDSC), surface DSC, added path length, and the 95%-Hausdorff distance. 32 OARs (76%) had mean VDSC greater than 0.8 for the RO-revised DL contours, compared to 20 (48%) for RO-revised MDA contours, and 34 (81%) for the unrevised DL OARs.ConclusionDL autosegmentation demonstrated significant time-savings for organ-at-risk contouring while improving agreement with the institutional GS, indicating comparable accuracy of DL model. Integration into the clinical practice with a prospective evaluation is currently underway
Bounds on the density of sources of ultra-high energy cosmic rays from the Pierre Auger Observatory
We derive lower bounds on the density of sources of ultra-high energy cosmic rays from the lack of significant clustering in the arrival directions of the highest energy events detected at the Pierre Auger Observatory. The density of uniformly distributed sources of equal intrinsic intensity was found to be larger than similar to (0.06 â 5) x 10(-4) Mpc(-3) at 95% CL, depending on the magnitude of the magnetic defections. Similar bounds, in the range (0.2 â 7) x 10(-4) Mpc(-3), were obtained for sources following the local matter distribution.We are very grateful to the following agencies and organizations for financial support,: Comision Nacional de Energia Atomica, Fundacion Antorchas, Gobierno De La, Provincia de Ailendoza. Municipalidad de Malargile. INDM floldings and Valle Las Lenas, in gratitude for their continuing cooperation over land access. Argentina; the Australian Research Council; Conselho Nacional de Desenvolvimento Cientifico e 'Tecnologico (CNPq), Financiadora de Estudos e Projetos (FINEP), Fundacdo de Amparo a Pesquisa do Est ado de Rio de Janeiro (FAP HRJ), Fundacdo de Amparo Pesquisa do Estado de Sdo Paulo (FAPESP), Ministerio de Ciencia e Tecnologia (IVICT), Brazil; AVCR AVOZ10100502 and AVOZ10100522, GAAV KJB100100904, AISMT-CR LA08016, LG11044, 1VIEB111003, MSAI0021620859, LA08015, TACR TA01010517 and GA U.K. 119810, Czech Republic; Centre de Calcul I-N2P3/CNRS, Centre National de la -Recherche Scientifique ((1 NRS), Conseil Regional Ile-de-France, f)epartement, Physique Nuclealre et Corpusculaire (I N( Departement Sciences de l'Univers (SDU-INSU/CNRS), France; Bundesministerium fur Bildung und Forschung (BMBF), Deutsche Forschungsgemeinschaft (DITG), Finanzministerium Baden-Wurttemberg, flelmholtz-Gemeinschaft Deutscher Forschungszentren Ministerium fur Wissenschaft und Forschung, Nordrhein-Westfalen, Ministerimn fur Wissenschaft, Forschung und Kunst, Baden-WUrttemberg, Germany; Istituto Nazion ale di Fisica Nucleare (INFN), Ministero dell'Istruzione, delhLniversita e della Ricerca (MIUR), Italy: Consejo Nacional de Ciencia y Tecnologia (CONACYT), Mexico; Ministerie van Onden s Cultuur on NVetenschap Nederlandse Organisatie voor Wetenschappelijk Onderzoek (NWO), Stichting voor Rmdamenteel Onderzoek der Materie (FOM), Netherlands; Ministry of Science and Higher Education, Grant Nos. N N202 200239 and N N202 207238, Poland; Portuguese national funds and FEDER funds within COMPETE - Programa Operacional Factores de Competitividade through Fundacao para a Ciencia e a Tecnologia, Portugal; Romanian Authority for Scientific Research ANCS, CNDI-UEFISETD1 partnership projects nr.20/2012 and nr.194/2012, project nr.1 /ASPERA2/20I2 ERA-NET and PN-IIRU-PD-2011-3-0145-17, Romania; Ministry for Higher Education, Science, and 'Technology, Slovenian Research Agency, Slovenia; Comunidad de Madrid, FEDER funds, Ministerio de Ciencia e Innovacion and Consolider-Ingenio 2010 (( PAN), X unta de Galicia Spain; Science and Technology Facilities Council, United kingdom; Department of Luergy, Contract Nos. DE-ACO2-07(11-111359, DE-FR02-04E1(41300, DE-FG02-99E1(41107, National Science Foundation, Grant No. 0450696, The Grainger Foundation U.S.A.; NAFOSTED, Vietnam; Marie Curie-IRSES/HPLANET, European Particle Physics Latin American Network, European Union 7th Frarneworlc Program. Grant No. IIRSES-2009-GA-246806; and UNESCO.Peer reviewe
Identifying clouds over the Pierre Auger Observatory using infrared satellite data
We describe a new method of identifying night-time clouds over the Pierre Auger Observatory using infrared data from the Imager instruments on the GOES-12 and GOES-13 satellites. We compare cloud. identifications resulting from our method to those obtained by the Central Laser Facility of the Auger Observatory. Using our new method we can now develop cloud probability maps for the 3000 km(2) of the Pierre Auger Observatory twice per hour with a spatial resolution of similar to 2.4 km by similar to 5.5 km. Our method could also be applied to monitor cloud cover for other ground-based observatories and for space-based observatories. (C) 2013 Elsevier B.V. All rights reserved.The successful installation, commissioning, and operation of the
Pierre Auger Observatory would not have been possible without
the strong commitment and effort from the technical and adminis-
trative staff in MalargĂŒe.
We are very grateful to the following agencies and organiza-
tions for financial support: ComisiĂłn Nacional de EnergĂa AtĂłmica,
FundaciĂłn Antorchas, Gobierno De La Provincia de Mendoza,
Municipalidad de MalargĂŒe, NDM Holdings and Valle Las Leñas,
in gratitude for their continuing cooperation over land access,
Argentina; the Australian Research Council; Conselho Nacional de
Desenvolvimento CientĂfico e TecnolĂłgico (CNPq), Financiadora
de Estudos e Projetos (FINEP), Fundação de Amparo à Pesquisa do
Estado de Rio de Janeiro (FAPERJ), Fundação de Amparo à Pesquisa
do Estado de SĂŁo Paulo (FAPESP), MinistĂ©rio de CiĂȘncia e Tecnolo-
gia (MCT), Brazil; AVCR AV0Z10100502 and AV0Z10100522, GAAV
KJB100100904, MSMT-CR LA08016, LG11044, MEB111003,
MSM0021620859, LA08015, TACR TA01010517 and GA UK
119810, Czech Republic; Centre de Calcul IN2P3/CNRS, Centre Na-
tional de la Recherche Scientifique (CNRS), Conseil RĂ©gional Ile-de-
France, Département Physique Nucléaire et Corpusculaire (PNC-
IN2P3/CNRS), DĂ©partement Sciences de lâUnivers (SDU-INSU/
CNRS), France; Bundesministerium fĂŒr Bildung und Forschung
(BMBF), Deutsche Forschungsgemeinschaft (DFG), Finanzministeri-
um Baden-WĂŒrttemberg, Helmholtz-Gemeinschaft Deutscher
Forschungszentren (HGF), Ministerium fĂŒr Wissenschaft und
Forschung, Nordrhein-Westfalen, Ministerium fĂŒr Wissenschaft,
Forschung und Kunst, Baden-WĂŒrttemberg, Germany; Istituto
Nazionale di Fisica Nucleare (INFN), Ministero dellâIstruzione,
dellâUniversitĂ e della Ricerca (MIUR), Italy; Consejo Nacional de Ciencia y TecnologĂa (CONACYT), Mexico; Ministerie van Ond-
erwijs, Cultuur en Wetenschap, Nederlandse Organisatie voor Wet-
enschappelijk Onderzoek (NWO), Stichting voor Fundamenteel
Onderzoek der Materie (FOM), Netherlands; Ministry of Science
and Higher Education, Grant Nos. N N202 200239 and N N202
207238, Poland; Portuguese national funds and FEDER funds with-
in COMPETE - Programa Operacional Factores de Competitividade
through Fundação para a CiĂȘncia e a Tecnologia, Portugal; Roma-
nian Authority for Scientific Research ANCS, CNDI-UEFISCDI part-
nership projects nr.20/2012 and nr.194/2012, project nr.1/
ASPERA2/2012 ERA-NET and PN-II-RU-PD-2011-3-0145-17, Roma-
nia; Ministry for Higher Education, Science, and Technology, Slove-
nian Research Agency, Slovenia; Comunidad de Madrid, FEDER
funds, Ministerio de Ciencia e InnovaciĂłn and Consolider-Ingenio
2010 (CPAN), Xunta de Galicia, Spain; The Leverhulme Foundation,
Science and Technology Facilities Council, United Kingdom;
Department of Energy, Contract Nos. DE-AC02-07CH11359, DE-
FR02-04ER41300, DE-FG02-99ER41107, National Science Founda-
tion, Grant No. 0450696, The Grainger Foundation USA; NAFO-
STED, Vietnam; Marie Curie-IRSES/EPLANET, European Particle
Physics Latin American Network, European Union 7th Framework
Program, Grant No. PIRSES-2009-GA-246806; and UNESCO.
We would like to thank the former Michigan Tech students:
Nathan Kelley-Hoskins, Kyle Luck and Arin Nelson for their impor-
tant contribution to the development of this paper. We would like
to thank NOAA for the GOES satellite data that we freely down-
loaded from their website. Also, we would like to mention in these
acknowledgments Dr. Steve Ackerman and Dr. Tony Schreiner for
very valuable conversationsPeer reviewe
Constraints on the origin of cosmic rays above eV from large scale anisotropy searches in data of the Pierre Auger Observatory
A thorough search for large scale anisotropies in the distribution of arrival directions of cosmic rays detected above eV at the Pierre Auger Observatory is reported. For the first time, these large scale anisotropy searches are performed as a function of both the right ascension and the declination and expressed in terms of dipole and quadrupole moments. Within the systematic uncertainties, no significant deviation from isotropy is revealed. Upper limits on dipole and quadrupole amplitudes are derived under the hypothesis that any cosmic ray anisotropy is dominated by such moments in this energy range. These upper limits provide constraints on the production of cosmic rays above eV, since they allow us to challenge an origin from stationary galactic sources densely distributed in the galactic disk and emitting predominantly light particles in all directions.Peer Reviewe
Arecibo PALFA survey and Einstein@Home: Binary pulsar discovery by volunteer computing
We report the discovery of the 20.7ms binary pulsar J1952+2630, made using the distributed computing project Einstein@Home in Pulsar ALFA survey observations with the Arecibo telescope. Follow-up observations with the Arecibo telescope confirm the binary nature of the system. We obtain a circular orbital solution with an orbital period of 9.4hr, a projected orbital radius of 2.8lt-s, and a mass function of f = 0.15 M ĂąĆ âą by analysis of spin period measurements. No evidence of orbital eccentricity is apparent; we set a 2ĂÆ upper limit e Ăąâ°ÂČ 1.7 Ăâ 10 -3 . The orbital parameters suggest a massive white dwarf companion with a minimum mass of 0.95 M ĂąĆ âą , assuming a pulsar mass of 1.4 M ĂąĆ âą . Most likely, this pulsar belongs to the rare class of intermediate-mass binary pulsars. Future timing observations will aim to determine the parameters of this system further, measure relativistic effects, and elucidate the nature of the companion star. Ă© 2011. The American Astronomical Society. All rights reserved
Results of a self-triggered prototype system for radio-detection of extensive air showers at the Pierre Auger Observatory
We describe the experimental setup and the results of RAuger, a small radio-antenna array, consisting of three fully autonomous and self-triggered radio-detection stations, installed close to the center of the Surface Detector (SD) of the Pierre Auger Observatory in Argentina. The setup has been designed for the detection of the electric field strength of air showers initiated by ultra-high energy cosmic rays, without using an auxiliary trigger from another detection system. Installed in December 2006, RAuger was terminated in May 2010 after 65 registered coincidences with the SD. The sky map in local angular coordinates (i.e., zenith and azimuth angles) of these events reveals a strong azimuthal asymmetry which is in agreement with a mechanism dominated by a geomagnetic emission process. The correlation between the electric field and the energy of the primary cosmic ray is presented for the first time, in an energy range covering two orders of magnitude between 0.1 EeV and 10 EeV. It is demonstrated that this setup is relatively more sensitive to inclined showers, with respect to the SD. In addition to these results, which underline the potential of the radio-detection technique, important information about the general behavior of self-triggering radio-detection systems has been obtained. In particular, we will discuss radio self-triggering under varying local electric-field conditions
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