Applications of proxy system modeling in high resolution paleoclimatology

AbstractA proxy system model may be defined as the complete set of forward and mechanistic processes by which the response of a sensor to environmental forcing is recorded and subsequently observed in a material archive. Proxy system modeling complements and sharpens signal interpretations based solely on statistical analyses and transformations; provides the basis for observing network optimization, hypothesis testing, and data-model comparisons for uncertainty estimation; and may be incorporated as weak but mechanistically-plausible constraints into paleoclimatic reconstruction algorithms. Following a review illustrating these applications, we recommend future research pathways, including development of intermediate proxy system models for important sensors, archives, and observations; linking proxy system models to climate system models; hypothesis development and evaluation; more realistic multi-archive, multi-observation network design; examination of proxy system behavior under extreme conditions; and generalized modeling of the total uncertainty in paleoclimate reconstructions derived from paleo-observations

Agreement in dry eye management between optometrists and general practitioners in primary health care in the Netherlands

The final publication is available at Elsevier via http://dx.doi.org/10.1016/j.clae.2015.03.005 © 2015. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/Purpose: To investigate the agreement in dry eye care management between general practitioners (GPs) and optometrists in the Netherlands. Methods: A web-based survey was used to investigate the agreement in symptoms associated with dry eye, causes of developing dry eye, and investigative techniques used in practice, between GPs and optometrists. Additional questions surveyed knowledge of the latest research, and co-management of dry eye disease in primary healthcare. The anonymised questionnaire contained 16 forced-choice questions with Likert scales, and was sent to 1471 general medical practitioners and 870 registered optometrists. The response data was stored on an online database, and was converted directly to text format for analysis using SPSS 21 statistical analysis software. Results: 138 optometrists and 93 GPs responded to the survey (Cronbach α = 0.885, optometrists, and 0.833, GPs). Almost no agreement was found for all the questions: a statistically significant difference (Chi-square p 0.0001), and dry eye symptoms, except for ‘burning sensation of the eye’ and ‘irritation of the eye’ as agreed symptoms, and agreement that dry eye is an age-related disease. Conclusions: As the optometrist and the GP are the gatekeepers for secondary healthcare, the fundamental differences in the methods of investigation and interpretation of dry eye-related symptoms, the possible cause of developing dry eye disease, and the therapy given by GPs and optometrists in the Netherlands, may have a significant impact on consistency of patient care.The authors extend their appreciation to the University of Applied Sciences Utrecht for funding this researc

Evaluation of the reliability of real-time ultrasonography to measure muscle thickness of the canine middle gluteal muscle

Conference abstract of a study of an operator-blind clinical trial of repeated ultrasonography (ULT) to determine a standardised method for MT measurement in the middle gluteal muscle of canines in the clinical setting

The ACTN3 Gene and Differences between Playing Positions in Bone Mineral Content, Fat Mass and Lean Tissue Mass in the Arms, Legs and Trunk Of Rugby Union Football Players

Aim: The function of the present study was to identify differences between individual playing positions in bone mineral content, fat mass, and lean tissue mass, in the arms, trunk and legs of young adult Rugby Union football players who carried the ACTN3 gene. Subjects and methods: A cross-sectional case control study was carried out using a candidate gene approach (n=55). Individuals belonged to a homogeneous group of players relative to age, gender, ability, and ethnicity. Players were allocated to their preferred playing position. These were the front row (n=14), second and back rows (n=16), scrum and outside-half (n=11), and centres, wings and fullbacks (n=14). A 5 ml sample of saliva was obtained from each player and specimens stored at 4oC until buccal cell DNA extraction was carried out. Height was measured to the nearest 0.1 cm and body mass to the closest 0.1 kg. Dual-energy X-ray absorptiometry was measured using a Hologic QDR Discovery fan beam model. Statistical analyses were undertaken using ANOVA, ANCOVA and MANOVA. Results: The study sample comprised 22% RR, 60% RX, and 18% XX genotypes of the ACTN3 gene respectively. Players in the second and back rows were significantly taller than other positions. Body mass differences, were significantly greater in forwards than backs. There were non-significant differences between positions in adjusted bone mineral content or adjusted lean tissue mass. Adjusted fat mass reflected differences between left and right arms, but not left and right legs. Conclusion: At a developmental level of performance, an understanding and practical application of the structural, physiological and body composition characteristics of individual players, will facilitate personal and team accomplishment, efficiency of training and conditioning, and nurture the potential of young adult players

Density functional theory of phase coexistence in weakly polydisperse fluids

The recently proposed universal relations between the moments of the polydispersity distributions of a phase-separated weakly polydisperse system are analyzed in detail using the numerical results obtained by solving a simple density functional theory of a polydisperse fluid. It is shown that universal properties are the exception rather than the rule.Comment: 10 pages, 2 figures, to appear in PR

Study of Neutron-Induced Ionization in Helium and Argon Chamber Gases

Ion chambers used to monitor the secondary hadron and tertiary muon beam in the NuMI neutrino beamline will be exposed to background particles, including low energy neutrons produced in the beam dump. To understand these backgrounds, we have studied Helium- and Argon-filled ionization chambers exposed to intense neutron fluxes from PuBe neutron sources ($E_n=1-10$ MeV). The sources emit about 10$^8$ neutrons per second. The number of ion pairs in the chamber gas volume per incident neutron is derived. While limited in precision because of a large gamma ray background from the PuBe sources, our results are consistent with the expectation that the neutrons interact purely elastically in the chamber gas.Comment: accepted for publication in NIM

Analysis of parametric oscillatory instability in Fabry-Perot cavity with Gauss and Laguerre-Gauss main mode profile

We calculate the parametric instabilities in Fabry-Perot cavities of Advanced VIRGO and LIGO interferometers with different main mode profiles. All unstable combinations of elastic and Stokes modes both for the case with TEM00 and LG33 as a carriers are deduced.Comment: 11 pages, 3 figure

Development of a percutaneous coronary intervention patient level composite measure for a clinical quality registry

© 2020 The Author(s). Background: Composite measures combine data to provide a comprehensive view of patient outcomes. Despite composite measures being a valuable tool to assess post-intervention outcomes, the patient perspective is often missing. The purpose of this study was to develop a composite measure for an established cardiac outcome registry, by combining clinical outcomes following percutaneous coronary interventions (PCI) with a patient-reported outcome measure (PROM) developed specifically for this population (MC-PROM). Methods: Two studies were undertaken. Study 1: Patients who had undergone a PCI at one of the three participating registry hospital sites completed the 5-item MC-PROM. Clinical outcome data for the patients (e.g. death, myocardial infarction, repeat vascularisation, new bleeding event) were collected 30 days post-intervention as part of routine data collection for the cardiac registry. Exploratory factor analysis of clinical outcomes and MC-PROM data was conducted to determine the minimum number of constructs to be included in a composite measure. Study 2: Clinical experts participated in a Delphi technique, consisting of three rounds of online surveys, to determine the clinical outcomes to be included and the weighting of the clinical outcomes and MC-PROM score for the composite measure. Results: Study 1: Routine clinical outcomes and the MC-PROM data were collected from 266 patients 30 days post PCI. The MC-PROM score was not significantly correlated with any clinical outcomes. Study 2: There was a relatively consistent approach to the weighting of the clinical outcomes and MC-PROM items by the expert panel (n = 18) across the three surveys with the exception of the clinical outcome of 'deceased at 30 days'. The final composite measure included five clinical outcomes within 30 days weighted at 90% (new heart failure, new myocardial infarction, new stent thrombosis, major bleeding event, new stroke, unplanned cardiac rehospitalisation) and the MC-PROM score (comprising 10% of the total weighting). Conclusions: A single patient level composite score, which incorporates weighted clinical outcomes and a PROM was developed. This composite score provides a more comprehensive reported measure of individual patient wellbeing at 30 days post their PCI-procedure, and may assist clinicians to further assess and address patient level factors that potentially impact on clinical recovery