561 research outputs found

    Comparing statistical techniques to classify the structure of mountain forest stands using CHM-derived metrics in Trento province (Italy)

    Get PDF
    In some cases a canopy height model (CHM) is the only available source of forest height information. For these cases it is important to understand the predictive power of CHM data for forest attributes. In this study we examined the use of lidar-derived CHM metrics to predict forest structure classes according to the amount of basal area present in understory, midstory, and overstory trees. We evaluated two approaches to predict sizebased forest classifications: in the first, we attempted supervised classification with both linear discriminant analysis (LDA) and random forest (RF); in the second, we predicted basal areas of lower, mid, and upper canopy trees from CHM-derived variables by k-nearest neighbour imputation (k-NN) and parametric regression, and then classified observations based on their predicted basal areas. We used leave-one-out cross-validation to evaluate our ability to predict forest structure classes from CHM data and in the case of prediction-based classification approach we look at the performances in predicting basal area. The strategies proved moderately successful with a best overall classification accuracy of 41% in the case of LDA. In general, we were most successful in predicting the basal areas of small and large trees (R 2 respectively of 71% and 69% in the case of k-NN imputation)

    Antithrombotic Treatment in Transcatheter Aortic Valve Implantation Insights for Cerebrovascular and Bleeding Events

    Get PDF
    Transcatheter aortic valve implantation (TAVI) has emerged as a therapeutic alternative for patients with symptomatic aortic stenosis at high or prohibitive surgical risk. However, patients undergoing TAVI are also at high risk for both bleeding and stroke complications, and specific mechanical aspects of the procedure itself can increase the risk of these complications. The mechanisms of periprocedural bleeding complications seem to relate mainly to vascular/access site complications (related to the use of large catheters in a very old and frail elderly population), whereas the pathophysiology of cerebrovascular events remains largely unknown. Further, although mechanical complications, especially the interaction between the valve prosthesis and the native aortic valve, may play a major role in events that occur during TAVI, post-procedural events might also be related to a prothrombotic environment or state generated by the implanted valve, the occurrence of atrial arrhythmias, and associated comorbidities. Antithrombotic therapy in the setting of TAVI has been empirically determined, and unfractionated heparin during the procedure followed by dual antiplatelet therapy with aspirin (indefinitely) and clopidogrel (1 to 6 months) is the most commonly recommended treatment. However, bleeding and cerebrovascular events are common; these may be modifiable with optimization of periprocedural and post-procedural pharmacology. Further, as the field of antiplatelet and anticoagulant therapy evolves, potential drug combinations will multiply, introducing variability in treatment. Randomized trials are the best path forward to determine the balance between the efficacy and risks of antithrombotic treatment in this high risk-population

    Self – perceived and clinically diagnosed dental and periodontal health status among young adults and their implications for epidemiological surveys

    Get PDF
    BACKGROUND: Clinical (normative) and subjective (self-assessment) evaluation of caries and periodontal diseases have been reported to demonstrate a significant disparity. The dental public health team is obligated to recognize and understand this gap. The objectives of the study were to investigate the practical values of using questionnaires (self–perceived assessment) as compared to clinical examinations (normative assessment) and to evaluate the implications of the results in understanding the public's perception of oral health. METHODS: The investigation was performed on 4920, 21 year-old Israeli adults upon release from compulsory military service between 1996 and 1998. Participants were asked to fill in a questionnaire inquiring how they would rate their personal dental and periodontal health levels. Clinical examinations, employing the DMFT and CPITN indices, were performed to determine normative oral health status. Perceived and normative assessments were compared for sensitivity, specificity, positive and negative predictive values and overall proportions using the clinical examinations as a gold standard. RESULTS: The sensitivity (disease perception) for dental status was found to be 0.34, while the specificity (health perception) was found to be 0.83. The positive predictive value for perceived dental status was found to be 0.68, whereas the negative predictive value was found to be 0.54. The sensitivity for perceived periodontal status was found to be 0.28, while the specificity was found to be 0.83. The positive predictive value for perceived periodontal status was found to be 0.05, whereas the negative predictive value was found to be 0.97. Regarding the overall proportions, a large discrepancy was found between self–assessment and professional assessment for both dental and periodontal health status. CONCLUSIONS: Self-assessment questionnaires were of low value in evaluating oral health status both in the individual and public levels, though perception levels of health were higher than that of disease. Findings reflects a low level of awareness of the public that may influence care-seeking behavior and highlight the importance of oral health promotion and the crucial need for public health action

    Spin and e-e interactions in quantum dots: Leading order corrections to universality and temperature effects

    Full text link
    We study the statistics of the spacing between Coulomb blockade conductance peaks in quantum dots with large dimensionless conductance g. Our starting point is the ``universal Hamiltonian''--valid in the g->oo limit--which includes the charging energy, the single-electron energies (described by random matrix theory), and the average exchange interaction. We then calculate the magnitude of the most relevant finite g corrections, namely, the effect of surface charge, the ``gate'' effect, and the fluctuation of the residual e-e interaction. The resulting zero-temperature peak spacing distribution has corrections of order Delta/sqrt(g). For typical values of the e-e interaction (r_s ~ 1) and simple geometries, theory does indeed predict an asymmetric distribution with a significant even/odd effect. The width of the distribution is of order 0.3 Delta, and its dominant feature is a large peak for the odd case, reminiscent of the delta-function in the g->oo limit. We consider finite temperature effects next. Only after their inclusion is good agreement with the experimental results obtained. Even relatively low temperature causes large modifications in the peak spacing distribution: (a) its peak is dominated by the even distribution at kT ~ 0.3 Delta (at lower T a double peak appears); (b) it becomes more symmetric; (c) the even/odd effect is considerably weaker; (d) the delta-function is completely washed-out; and (e) fluctuation of the coupling to the leads becomes relevant. Experiments aimed at observing the T=0 peak spacing distribution should therefore be done at kT<0.1 Delta for typical values of the e-e interaction.Comment: 15 pages, 4 figure

    Interactions in Chaotic Nanoparticles: Fluctuations in Coulomb Blockade Peak Spacings

    Full text link
    We use random matrix models to investigate the ground state energy of electrons confined to a nanoparticle. Our expression for the energy includes the charging effect, the single-particle energies, and the residual screened interactions treated in Hartree-Fock. This model is applicable to chaotic quantum dots or nanoparticles--in these systems the single-particle statistics follows random matrix theory at energy scales less than the Thouless energy. We find the distribution of Coulomb blockade peak spacings first for a large dot in which the residual interactions can be taken constant: the spacing fluctuations are of order the mean level separation Delta. Corrections to this limit are studied using the small parameter 1/(kf L): both the residual interactions and the effect of the changing confinement on the single-particle levels produce fluctuations of order Delta/sqrt(kf L). The distributions we find are significantly more like the experimental results than the simple constant interaction model.Comment: 17 pages, 4 figures, submitted to Phys. Rev.

    Training of Instrumentalists and Development of New Technologies on SOFIA

    Full text link
    This white paper is submitted to the Astronomy and Astrophysics 2010 Decadal Survey (Astro2010)1 Committee on the State of the Profession to emphasize the potential of the Stratospheric Observatory for Infrared Astronomy (SOFIA) to contribute to the training of instrumentalists and observers, and to related technology developments. This potential goes beyond the primary mission of SOFIA, which is to carry out unique, high priority astronomical research. SOFIA is a Boeing 747SP aircraft with a 2.5 meter telescope. It will enable astronomical observations anywhere, any time, and at most wavelengths between 0.3 microns and 1.6 mm not accessible from ground-based observatories. These attributes, accruing from the mobility and flight altitude of SOFIA, guarantee a wealth of scientific return. Its instrument teams (nine in the first generation) and guest investigators will do suborbital astronomy in a shirt-sleeve environment. The project will invest $10M per year in science instrument development over a lifetime of 20 years. This, frequent flight opportunities, and operation that enables rapid changes of science instruments and hands-on in-flight access to the instruments, assure a unique and extensive potential - both for training young instrumentalists and for encouraging and deploying nascent technologies. Novel instruments covering optical, infrared, and submillimeter bands can be developed for and tested on SOFIA by their developers (including apprentices) for their own observations and for those of guest observers, to validate technologies and maximize observational effectiveness.Comment: 10 pages, no figures, White Paper for Astro 2010 Survey Committee on State of the Professio

    Induced pseudoscalar coupling of the proton weak interaction

    Full text link
    The induced pseudoscalar coupling gpg_p is the least well known of the weak coupling constants of the proton's charged--current interaction. Its size is dictated by chiral symmetry arguments, and its measurement represents an important test of quantum chromodynamics at low energies. During the past decade a large body of new data relevant to the coupling gpg_p has been accumulated. This data includes measurements of radiative and non radiative muon capture on targets ranging from hydrogen and few--nucleon systems to complex nuclei. Herein the authors review the theoretical underpinnings of gpg_p, the experimental studies of gpg_p, and the procedures and uncertainties in extracting the coupling from data. Current puzzles are highlighted and future opportunities are discussed.Comment: 58 pages, Latex, Revtex4, prepared for Reviews of Modern Physic

    Organizational factors and depression management in community-based primary care settings

    Get PDF
    Abstract Background Evidence-based quality improvement models for depression have not been fully implemented in routine primary care settings. To date, few studies have examined the organizational factors associated with depression management in real-world primary care practice. To successfully implement quality improvement models for depression, there must be a better understanding of the relevant organizational structure and processes of the primary care setting. The objective of this study is to describe these organizational features of routine primary care practice, and the organization of depression care, using survey questions derived from an evidence-based framework. Methods We used this framework to implement a survey of 27 practices comprised of 49 unique offices within a large primary care practice network in western Pennsylvania. Survey questions addressed practice structure (e.g., human resources, leadership, information technology (IT) infrastructure, and external incentives) and process features (e.g., staff performance, degree of integrated depression care, and IT performance). Results The results of our survey demonstrated substantial variation across the practice network of organizational factors pertinent to implementation of evidence-based depression management. Notably, quality improvement capability and IT infrastructure were widespread, but specific application to depression care differed between practices, as did coordination and communication tasks surrounding depression treatment. Conclusions The primary care practices in the network that we surveyed are at differing stages in their organization and implementation of evidence-based depression management. Practical surveys such as this may serve to better direct implementation of these quality improvement strategies for depression by improving understanding of the organizational barriers and facilitators that exist within both practices and practice networks. In addition, survey information can inform efforts of individual primary care practices in customizing intervention strategies to improve depression management.http://deepblue.lib.umich.edu/bitstream/2027.42/78269/1/1748-5908-4-84.xmlhttp://deepblue.lib.umich.edu/bitstream/2027.42/78269/2/1748-5908-4-84-S1.PDFhttp://deepblue.lib.umich.edu/bitstream/2027.42/78269/3/1748-5908-4-84.pdfPeer Reviewe

    Dental profile of patients with Gaucher disease

    Get PDF
    BACKGROUND: This study was conducted to determine whether patients with Gaucher disease had significant dental pathology because of abnormal bone structure, pancytopenia, and coagulation abnormalities. METHODS: Each patient received a complete oral and periodontal examination in addition to a routine hematological evaluation. RESULTS: Gaucher patients had significantly fewer carious lesions than otherwise healthy carriers. Despite prevalence of anemia, there was no increase in gingival disease; despite the high incidence of thrombocytopenia, gingival bleeding was not noted; and despite radiological evidence of bone involvement, there was no greater incidence loss of teeth or clinical tooth mobility. CONCLUSIONS: These data represent the first survey of the oral health of a large cohort of patients with Gaucher disease. It is a pilot study of a unique population and the results of the investigation are indications for further research. Based on our findings, we recommend regular oral examinations with appropriate dental treatment for patients with Gaucher disease as for other individuals. Consultation between the dentist and physician, preferably one with experience with Gaucher disease, should be considered when surgical procedures are planned
    • …
    corecore