617 research outputs found
A Proposed Search for the Detection of Gravitational Waves from Eccentric Binary Black Holes
Most of compact binary systems are expected to circularize before the
frequency of emitted gravitational waves (GWs) enters the sensitivity band of
the ground based interferometric detectors. However, several mechanisms have
been proposed for the formation of binary systems, which retain eccentricity
throughout their lifetimes. Since no matched-filtering algorithm has been
developed to extract continuous GW signals from compact binaries on orbits with
low to moderate values of eccentricity, and available algorithms to detect
binaries on quasi-circular orbits are sub-optimal to recover these events, in
this paper we propose a search method for detection of gravitational waves
produced from the coalescences of eccentric binary black holes (eBBH). We study
the search sensitivity and the false alarm rates on a segment of data from the
second joint science run of LIGO and Virgo detectors, and discuss the
implications of the eccentric binary search for the advanced GW detectors
Baseline self-report 'central mechanisms' trait predicts persistent knee pain in the Knee Pain in the Community (KPIC) cohort.
OBJECTIVES: We investigated whether baseline scores for a self-report trait linked to central mechanisms predict 1 year pain outcomes in the Knee Pain in the Community cohort. METHOD: 1471 participants reported knee pain at baseline and responded to a 1-year follow-up questionnaire, of whom 204 underwent pressure pain detection thresholds (PPTs) and radiographic assessment at baseline. Logistic and linear regression models estimated the relative risks (RRs) and associations (β) between self-report traits, PPTs and pain outcomes. Discriminative performance for each predictor was compared using receiver-operator characteristics (ROC) curves. RESULTS: Baseline Central Mechanisms trait scores predicted pain persistence (Relative Risk, RR = 2.10, P = 0.001) and persistent pain severity (β = 0.47, P < 0.001), even after adjustment for age, sex, BMI, radiographic scores and symptom duration. Baseline joint-line PPTs also associated with pain persistence (RR range = 0.65 to 0.68, P < 0.02), but only in univariate models. Lower baseline medial joint-line PPT was associated with persistent pain severity (β = -0.29, P = 0.013) in a fully adjusted model. The Central Mechanisms trait model showed good discrimination of pain persistence cases from resolved pain cases (Area Under the Curve, AUC = 0.70). The discrimination power of other predictors (PPTs (AUC range = 0.51 to 0.59), radiographic OA (AUC = 0.62), age, sex and BMI (AUC range = 0.51 to 0.64), improved significantly (P < 0.05) when the central mechanisms trait was included in each logistic regression model (AUC range = 0.69 to 0.74). CONCLUSION: A simple summary self-report Central Mechanisms trait score may indicate a contribution of central mechanisms to poor knee pain prognosis
Climate dynamics and fluid mechanics: Natural variability and related uncertainties
The purpose of this review-and-research paper is twofold: (i) to review the
role played in climate dynamics by fluid-dynamical models; and (ii) to
contribute to the understanding and reduction of the uncertainties in future
climate-change projections. To illustrate the first point, we focus on the
large-scale, wind-driven flow of the mid-latitude oceans which contribute in a
crucial way to Earth's climate, and to changes therein. We study the
low-frequency variability (LFV) of the wind-driven, double-gyre circulation in
mid-latitude ocean basins, via the bifurcation sequence that leads from steady
states through periodic solutions and on to the chaotic, irregular flows
documented in the observations. This sequence involves local, pitchfork and
Hopf bifurcations, as well as global, homoclinic ones. The natural climate
variability induced by the LFV of the ocean circulation is but one of the
causes of uncertainties in climate projections. Another major cause of such
uncertainties could reside in the structural instability in the topological
sense, of the equations governing climate dynamics, including but not
restricted to those of atmospheric and ocean dynamics. We propose a novel
approach to understand, and possibly reduce, these uncertainties, based on the
concepts and methods of random dynamical systems theory. As a very first step,
we study the effect of noise on the topological classes of the Arnol'd family
of circle maps, a paradigmatic model of frequency locking as occurring in the
nonlinear interactions between the El Nino-Southern Oscillations (ENSO) and the
seasonal cycle. It is shown that the maps' fine-grained resonant landscape is
smoothed by the noise, thus permitting their coarse-grained classification.
This result is consistent with stabilizing effects of stochastic
parametrization obtained in modeling of ENSO phenomenon via some general
circulation models.Comment: Invited survey paper for Special Issue on The Euler Equations: 250
Years On, in Physica D: Nonlinear phenomen
Factors predicting pain and early discontinuation of tumour necrosis factor-α-inhibitors in people with rheumatoid arthritis: Results from the British Society for Rheumatology Biologics Register
Background: We examined pain levels in 2 cohorts assembled from the British Society for Rheumatology Biologics Register (BSRBR), and investigated which factors predicted Bodily Pain scores and discontinuation of TNFα-inhibitors.
Method: Data were retrieved from BSRBR-RA databases for up to 1 year after commencing TNFα-inhibitors (n=11995) or being treated with non-biologic therapies (n=3632). Bodily Pain scores were derived from the Short Form-36 (SF36) questionnaire and norm-transformed to allow comparison with UK population averages. Discontinuation data were from physician reports. Other data, including 28-joint disease activity score (DAS28) measurements, were from clinical examination, interview, medical records and self-report questionnaires. DAS28-P was derived as the proportion of DAS28 attributed to patient-reported factors (tender joint count and visual analogue score). Missing baseline variables from both cohorts were imputed into 20 replicate datasets. Odds ratios (OR) and adjusted OR were calculated for higher than median pain within each cohort.
Results: Participants reported moderate to severe pain at baseline, and pain scores remained >1SD worse than normal population standards at 1 year, even when disease activity responded to treatment. Baseline pain was associated with DAS28-P, worse physical function, worse mental health, and DAS28. After logistic regression, independent predictors of higher than median pain at follow up were baseline Bodily Pain score, higher DAS28-P, worse physical function or mental health and co-morbidities. Higher age, male gender, and higher BMI were additional independent predictors of higher pain in participants who received TNFα-inhibitors. Baseline pain was also one of the predictors of discontinuation of the first TNFα-inhibitor within 1 year, as were female gender, current smoking, co-morbidities, extra-articular manifestations and worse function.
Conclusion: Pain persists in people with treated RA, even in those for whom inflammation responds to treatment. Worse pain outcomes are predicted by factors different to those typically found to predict inflammatory disease activity in other studies. Worse pain at baseline also predicts discontinuation of TNFα-inhibitors. Improved pain management should complement inflammatory disease suppression in RA
Responsiveness of SF-36 Health Survey and Patient Generated Index in people with chronic knee pain commenced on oral analgesia: analysis of data from a randomised controlled clinical trial
Purpose. (1) to assess the responsiveness of the Short Form 36 Health Survey (SF-36) and Patient Generated Index (PGI) in people with knee pain who were given oral analgesics; and (2) to perform content analysis of the SF-36 and PGI aiming to identify differences between the instruments and causes of different responsiveness.
Methods. An observational study nested within a randomised controlled trial comparing oral paracetamol, ibuprofen or a combination of the two in 884 community-derived people with chronic knee pain. Each participant was given the SF-36 and PGI questionnaires to fill out at baseline, day 10, week 7 and week 13 after commencement on analgesia. Responsiveness was measured as a standardised response mean from baseline and contents of the instruments were analysed.
Results. The PGI showed the greater responsiveness to analgesics than the SF-36 throughout the study period. Only the Bodily Pain Score of the SF-36 showed comparable responsiveness to the PGI. The standardised response mean of the PGI at 13 weeks was 0.61 (95% confidence interval 0.51 to 0.72), and that of the Bodily Pain Score of the SF-36 was 0.49 (95% confidence interval 0.39 to 0.58). Content analysis of the PGI identified multiple areas which are not represented in the SF-36 which may help explain its performance.
Conclusions. Overall the PGI is more responsive than the SF-36 to commonly used oral analgesics taken for knee pain. The PGI is able to elicit areas of individualised health related quality of life which are not captured by the SF-36
Dynamical origin of low-frequency variability in a highly nonlinear midlatitude coupled model
Author Posting. © American Meteorological Society 2006. This article is posted here by permission of American Meteorological Society for personal use, not for redistribution. The definitive version was published in Journal of Climate 19 (2006): 6391–6408, doi:10.1175/JCLI3976.1.A novel mechanism of decadal midlatitude coupled variability, which crucially depends on the nonlinear dynamics of both the atmosphere and the ocean, is presented. The coupled model studied involves quasigeostrophic atmospheric and oceanic components, which communicate with each other via a constant-depth oceanic mixed layer. A series of coupled and uncoupled experiments show that the decadal coupled mode is active across parameter ranges that allow the bimodality of the atmospheric zonal flow to coexist with oceanic turbulence. The latter is most intense in the regions of inertial recirculation (IR). Bimodality is associated with the existence of two distinct anomalously persistent zonal-flow modes, which are characterized by different latitudes of the atmospheric jet stream. The IR reorganizations caused by transitions of the atmosphere from its high- to low-latitude state and vice versa create sea surface temperature anomalies that tend to induce transition to the opposite atmospheric state. The decadal–interdecadal time scale of the resulting oscillation is set by the IR adjustment; the latter depends most sensitively on the oceanic bottom drag. The period T of the nonlinear oscillation is 7–25 yr for the range of parameters explored, with the most realistic parameter values yielding T ≈ 20 yr.
Aside from this nonlinear oscillation, an interannual Rossby wave mode is present in all coupled experiments. This coupled mode depends neither on atmospheric bimodality, nor on ocean eddy dynamics; it is analogous to the mode found previously in a channel configuration. Its time scale in the model with a closed ocean basin is set by cross-basin wave propagation and equals 3–5 yr for a basin width comparable with the North Atlantic.This research was
supported by NSF Grant OCE-02-221066 (all coauthors)
and DOE Grant DE-FG-03-01ER63260 (MG
and SK)
Potential role of endocrine gastrin in the colonic adenoma carcinoma sequence
The role of hyper-gastrinaemia in the incidence of colonic cancer remains to be clarified. The aim of this study was to determine whether cholecystokinin-2 (CCK-2) receptor expression predicts the sensitivity of human colonic adenomas to the proliferative effects of serum hyper-gastrinaemia. Gene expression of the classical (74 kDa) CCK-2 receptor in human colonic adenoma specimens and cell lines, was quantified by real-time PCR. Western blotting, using a CCK-2 receptor antiserum, confirmed protein expression. A transformed human colonic adenoma was grown in SCID mice, with hyper-gastrinaemia induced by protein pump inhibitors. CCK-2 receptor blockade was achieved by using neutralising antiserum. Both human colonic adenoma cell lines and biopsies expressed CCK-2 receptor mRNA at levels comparable with CCK-2 receptor transfected fibroblasts and oxyntic mucosa. Western blotting confirmed immunoreactive CCK-2 receptor bands localised to 45, 74 and 82.5 kDa. Omeprazole and lansoprazole-induced hyper-gastrinaemia (resulting in serum gastrin levels of 34.0 and 153.0 pM, respectively) significantly increased the weight of the human adenoma grafts (43% (P=0.016) and 70% (P=0.014), respectively). The effect of hypergastrinaemia on tumour growth was reversed by use of antiserum directed against the CCK-2 receptor. Hyper-gastrinaemia may promote proliferation of human colonic adenomas that express CCK-2 receptor isoforms
Illiteracy, low educational status, and cardiovascular mortality in India
Background: Influence of education, a marker of SES, on cardiovascular disease (CVD) mortality has not been evaluated in low-income countries. To determine influence of education on CVD mortality a cohort study was performed in India. Methods: 148,173 individuals aged ≥ 35 years were recruited in Mumbai during 1991-1997 and followed to ascertain vital status during 1997-2003. Subjects were divided according to educational status into one of the five groups: illiterate, primary school ( ≦ 5 years of formal education), middle school (6-8 years), secondary school (9-10 years) and college (> 10 years). Multivariate analyses using Cox proportional hazard model was performed an
Interpretation of DAS28 and its components in the assessment of inflammatory and non-inflammatory aspects of rheumatoid arthritis
Background: DAS28 is interpreted as the inflammatory disease activity of RA. Non-inflammatory pain mechanisms can confound assessment. We aimed to examine the use of DAS28 components or DAS28-derived measures that have been published as indices of non-inflammatory pain mechanisms, to inform interpretation of disease activity.
Methods: Data were used from multiple observational epidemiology studies of people with RA. Statistical characteristics of DAS28 components and derived indices were assessed using baseline and follow up data from British Society for Rheumatology Biologics Registry participants [1] commencing anti-TNF therapy (n = 10813), or [2] changing between non-biologic DMARDs (n=2992), [3] Early Rheumatoid Arthritis Network participants (n=813), and [4] participants in a cross-sectional study exploring fibromyalgia and pain thresholds (n=45). Repeatability was tested in 34 patients with active RA. Derived indices were the proportion of DAS28 attributable to patient-reported components (DAS28-P), tender-swollen difference and tender:swollen ratio. Pressure pain detection threshold (PPT) was used as an index of pain sensitisation.
Results: DAS28, tender joint count, visual analogue scale, DAS28-P, tender-swollen difference and tender:swollen ratio were more strongly associated with pain, PPT and fibromyalgia status than were swollen joint count or erythrocyte sedimentation rate. DAS28-P, tender-swollen difference and tender:swollen ratio better predicted pain over 1 year than did DAS28 or its individual components.
Conclusions: DAS28 is strongly associated both with inflammation and with patient-reported outcomes. DAS28-derived indices such as tender-swollen difference are associated with non-inflammatory pain mechanisms, can predict future pain and should inform how DAS28 is interpreted as an index of inflammatory disease activity in RA
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