528 research outputs found

    Cross-cultural adaptation and validation of the ā€œspinal cord injury-falls concern scaleā€ in the Italian population

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    Study design: Psychometrics study. Objective: The objective of this study was to develop an Italian version of the Spinal Cord Injury-Falls Concern Scale (SCI-FCS) and examine its reliability and validity. Setting: Multicenter study in spinal units in Northern and Southern Italy. The scale also was administered to non-hospitalized outpatient clinic patients. Methods: The original scale was translated from English to Italian using the ā€œTranslation and Cultural Adaptation of Patient-Reported Outcomes Measuresā€ guidelines. The reliability and validity of the culturally adapted scale were assessed following the ā€œConsensus-Based Standards for the Selection of Health Status Measurement Instrumentsā€ checklist. The SCI-FCS-I internal consistency, inter-rater, and intra-rater reliability were examined using Cronbachā€™s alpha coefficient and the intraclass correlation coefficient, respectively. Concurrent validity was evaluated using Pearsonā€™s correlation coefficient with the Italian version of the short form of the Wheelchair Use Confidence Scale for Manual Wheelchair Users (WheelCon-M-I-short form). Results: The Italian version of the SCI-FCS-I was administered to 124 participants from 1 June to 30 September 2017. The mean Ā± SD of the SCI-FCS-I score was 16.73 Ā± 5.88. All SCI-FCS items were either identical or similar in meaning to the original versionā€™s items. Cronbachā€™s Ī± was 0.827 (p < 0.01), the inter-rater reliability was 0.972 (p < 0.01), and the intra-rater reliability was 0.973 (p < 0.01). Pearsonā€™s correlation coefficient of the SCI-FCS-I scores with the WheelCon-M-I-short form was 0.56 (p < 0.01). Conclusions: The SCI-FCS-I was found to be reliable and a valid outcome measure for assessing manual wheelchair concerns about falling in the Italian population

    Confirming the high pressure phase diagram of the Shastry-Sutherland model

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    A Muon Spin Rotation (Ī¼ + SR) study was conducted to investigate the magnetic properties of SrCu2(BO3)2 (SCBO) as a function of temperature/pressure. Measurements in zero field and transverse field confirm the absence of long range magnetic order at high pressures and low temperatures. These measurements suggest changes in the Cu spin fluctuations characteristics above 21 kbar, consistent with the formation of a plaquette phase as previously suggested by inelastic neutron scattering measurements. SCBO is the only known realisation of the Shatry-Sutherland model, thus the ground state mediating the dimer and antiferromagnetic phase is likekly to be a plaquette state

    Modeling emergency department visit patterns for infectious disease complaints: results and application to disease surveillance

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    BACKGROUND: Concern over bio-terrorism has led to recognition that traditional public health surveillance for specific conditions is unlikely to provide timely indication of some disease outbreaks, either naturally occurring or induced by a bioweapon. In non-traditional surveillance, the use of health care resources are monitored in "near real" time for the first signs of an outbreak, such as increases in emergency department (ED) visits for respiratory, gastrointestinal or neurological chief complaints (CC). METHODS: We collected ED CCs from 2/1/94 ā€“ 5/31/02 as a training set. A first-order model was developed for each of seven CC categories by accounting for long-term, day-of-week, and seasonal effects. We assessed predictive performance on subsequent data from 6/1/02 ā€“ 5/31/03, compared CC counts to predictions and confidence limits, and identified anomalies (simulated and real). RESULTS: Each CC category exhibited significant day-of-week differences. For most categories, counts peaked on Monday. There were seasonal cycles in both respiratory and undifferentiated infection complaints and the season-to-season variability in peak date was summarized using a hierarchical model. For example, the average peak date for respiratory complaints was January 22, with a season-to-season standard deviation of 12 days. This season-to-season variation makes it challenging to predict respiratory CCs so we focused our effort and discussion on prediction performance for this difficult category. Total ED visits increased over the study period by 4%, but respiratory complaints decreased by roughly 20%, illustrating that long-term averages in the data set need not reflect future behavior in data subsets. CONCLUSION: We found that ED CCs provided timely indicators for outbreaks. Our approach led to successful identification of a respiratory outbreak one-to-two weeks in advance of reports from the state-wide sentinel flu surveillance and of a reported increase in positive laboratory test results

    Opposing selection and environmental variation modify optimal timing of breeding

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    Studies of evolution in wild populations often find that the heritable phenotypic traits of individuals producing the most offspring do not increase proportionally in the population. This paradox may arise when phenotypic traits influence both fecundity and viability and when there is a tradeoff between these fitness components, leading to opposing selection. Such tradeoffs are the foundation of life history theory, but they are rarely investigated in selection studies. Timing of breeding is a classic example of a heritable trait under directional selection that does not result in an evolutionary response. Using a 22-y study of a tropical parrot, we show that opposing viability and fecundity selection on the timing of breeding is common and affects optimal breeding date, defined by maximization of fitness. After accounting for sampling error, the directions of viability (positive) and fecundity (negative) selection were consistent, but the magnitude of selection fluctuated among years. Environmental conditions (rainfall and breeding density) primarily and breeding experience secondarily modified selection, shifting optimal timing among individuals and years. In contrast to other studies, viability selection was as strong as fecundity selection, late-born juveniles had greater survival than early-born juveniles, and breeding later in the year increased fitness under opposing selection. Our findings provide support for life history tradeoffs influencing selection on phenotypic traits, highlight the need to unify selection and life history theory, and illustrate the importance of monitoring survival as well as reproduction for understanding phenological responses to climate change

    The Pfam protein families database

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    Pfam is a comprehensive collection of protein domains and families, represented as multiple sequence alignments and as profile hidden Markov models. The current release of Pfam (22.0) contains 9318 protein families. Pfam is now based not only on the UniProtKB sequence database, but also on NCBI GenPept and on sequences from selected metagenomics projects. Pfam is available on the web from the consortium members using a new, consistent and improved website design in the UK (http://pfam.sanger.ac.uk/), the USA (http://pfam.janelia.org/) and Sweden (http://pfam.sbc.su.se/), as well as from mirror sites in France (http://pfam.jouy.inra.fr/) and South Korea (http://pfam.ccbb.re.kr/)

    Magnetism and Ion Diffusion in Honeycomb Layered Oxide K2_2Ni2_2TeO6_6: First Time Study by Muon Spin Rotation & Neutron Scattering

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    In the quest of finding novel and efficient batteries, a great interest has raised in K-based honeycomb layer oxide materials both for their fundamental properties and potential applications. A key issue in the realization of efficient batteries based on such compounds, is to understand the K-ion diffusion mechanism. However, investigation of potassium-ion (K+^+) dynamics in materials using magneto-spin properties has so far been challenging, due to its inherently weak nuclear magnetic moment, in contrast to other alkali ions such as lithium and sodium. Spin-polarised muons, having a high gyromagnetic ratio, make the muon spin rotation and relaxation (Ī¼\mu+SR) technique ideal for probing ions dynamics in weak magneto-spin moment materials. Here we report the magnetic properties and K+ dynamics in honeycomb layered oxide material of the K2_2Ni2_2TeO6_6 using Ī¼\mu+SR measurements. Our low-temperature Ī¼\mu+SR results together with, with complementary magnetic susceptibility, find an antiferromagnetic transition at 26 K. Further Ī¼\mu+SR studies performed at higher temperatures reveal that potassium ions (K+^+) become mobile above 250 K and the activation energy for the diffusion process is Ea = 121(13) meV. This is the first time that K+ dynamics in potassium-based battery materials has been measured using Ī¼\mu+SR. Finally our results also indicate an interesting possibility that K-ion self diffusion occurs predominantly at the surface of the powder particles. This opens future possibilities for improving ion diffusion and device performance using nano-structuring.Comment: 12 pages, 12 figure

    A New Connection between Central Engine Weak Physics and the Dynamics of Gamma-Ray Burst Fireballs

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    We demonstrate a qualitatively new aspect of the dynamics of Gamma-Ray Burst (GRB) fireballs: the development of a substantial dispersion in the proton component in fireballs in which neutron decoupling occurs and is sufficiently pronounced. This effect depends sensitively on the neutron to proton ratio in the fireball, becoming more dramatic with increasing neutron excess. Simple physical arguments and transport calculations indicate that the dispersion in Lorentz factor of the protons can be of order the final mean Lorentz factor of the fireball. We show how plasma instabilities could play an important role in the evolution of the fireball and how they might ultimately govern the development of such a velocity dispersion in the proton component. The role of these instabilities in setting/diminishing a proton Lorentz factor dispersion represents a new and potentially important venue for the study of plasma instabilities. Significant dispersion in the proton velocities translates into fewer protons attaining the highest Lorentz factors. This is tantamount to a reduction in the total energy required to attain a given Lorentz factor for the highest energy protons. As well, a proton component dispersion can have consequences for the electromagnetic and neutrino signature of GRBs.Comment: Added discussion of plasma instabilities and the requirement of charge neutrality. 6 pages, 4 figure
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